Application of the improved lateral decubitus position in the operation
10.3760/cma.j.issn.1674-2907.2011.33.014
- VernacularTitle:改良侧卧位在手术体位中的应用
- Author:
Mei-Hua YU
1
;
Li-Yun HE
;
Wei-Na XIE
;
Xiao-Ling YU
Author Information
1. 解放军第175医院
- Keywords:
Surgical lateral position;
Display method;
Improved
- From:
Chinese Journal of Modern Nursing
2011;17(33):4009-4010
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of the improved lateral decubitus position in the operation.Methods 160 cases were randomly divided into the modified lateral surgical group and traditional group two groups (n =80 for each group).Fourth edition of the traditional group was “routine medical care and technical operations” approach placed.Modified group:before anesthesia,a small pad under the chest wall soft pillow,according to lesion location after anesthesia choose left or right lateral position,his hands in front of music was set to sleep like the two arms of a small soft pillowbetween the pad; Front legs apart,on the tuiqu Xi,the next leg straight; head elevated after the first lap put the gap at the ear; Chest and abdomen and the back of each fixed a cylindrical yam bags,and finally tied with fixed hip,knee.Placed in two groups were observed an average completion time position,the incidence of intra-operative movement position,pressure and skin after postoperative follow-up physical fatigue,nerve damage,etc.Results Placed in modified group method average completion time is shorter than the traditional group,skin pressure,body fatigue,nerve injury rate of postoperative complications was significantly lower than the traditional group,intra-operative position more stable than the traditional group [ ( 13.97 ± 1.63 ) vs (6.71 ± 12.9 ),t =31.238,P ＜ 0.01 ; x2 =6.826 7,8.901 1,1 1.756 6,P ＜ 0.01 ).Conclusions Placed by the improved method can shorten the display side of time.For BP,HR,SpO2,respiration rate change had no effect,and complications of place due to improper posture can be significantly reduced and further enhance the quality of surgical care.
