成人晚期大骨节病脊柱手术患者改良俯卧位和传统俯卧位对比研究

发布时间：2018-11-28 10:25

【摘要】：目的对成人晚期大骨节病脊柱手术患者改良俯卧位和传统俯卧位临床效果对比研究。方法选择2014年1~12月晚期大骨节病脊柱手术适应症患者124例,随机分为对照组60例和实验组64例,对照组和实验组分别采用传统俯卧位和改良俯卧位安置方法。观察两组患者安置体位前后平均动脉压(MAP)、心率(HR)和血氧饱和度(SPO2)的变化,以及所用时间和所需人力资源。结果改良俯卧位前后,实验组患者的平均动脉压、心率和血氧饱和度无显著性变化(P0.05)。传统俯卧位前后,对照组患者的平均动脉压,心率和血氧饱和度具有显著性变化(P0.05)。实验组患者安置体位所用时间和人力均小于对照组,并且两者有显著统计学差异(P0.05)。结论成人晚期大骨节病脊柱手术患者在改良俯卧位前后,患者生命体征平稳,安置体位所用的时间短、安置体位所需的护理人员少,节省了时间、人力和财力。因此,改良俯卧位的方法具有较好的临床效果,值得临床应用和推广。
[Abstract]:Objective to compare the clinical effects of modified prone position and traditional prone position in adult patients with advanced Kaschin-Beck disease. Methods 124 patients with late Kashin-Beck disease were randomly divided into control group (n = 60) and experimental group (n = 64). The control group and experimental group were treated with traditional prone position and modified prone position respectively. The changes of mean arterial pressure (MAP), heart rate (HR), blood oxygen saturation (SPO2), time and human resources before and after postural placement were observed in the two groups. Results before and after the modified prone position, the mean arterial pressure, heart rate and blood oxygen saturation had no significant changes in the experimental group (P0.05). Before and after the traditional prone position, the mean arterial pressure, heart rate and blood oxygen saturation were significantly changed in the control group (P0.05). The time and manpower of placement in the experimental group were smaller than that in the control group, and there was significant difference between the two groups (P0.05). Conclusion before and after the modified prone position, the patients undergoing spinal surgery for advanced Kaschin-Beck disease in adults had stable vital signs, short time for placement and less nursing staff needed for placement, thus saving time, manpower and financial resources. Therefore, the modified prone position method has better clinical effect and is worthy of clinical application and popularization.
【作者单位】：西安交通大学医学院第二附属医院;西安交通大学医学院地方病研究所;
【基金】：国家科技惠民计划项目子项目“大骨节病防治的数字化随访管理”(项目编号:2012GS610101)
【分类号】：R687.3

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