Clinical effect of oblique lateral decubitus position on retroperitoneal laparoscopic urological surgery
10.3969/j.issn.1671-8283.2024.07.004
- VernacularTitle:90°斜侧卧位在后腹腔镜下泌尿外科手术中应用的效果观察
- Author:
Qianyan LIANG
1
;
Liufang HUANG
;
Rong WU
;
Fengqiu GONG
Author Information
1. 中山大学附属第一医院手术麻醉中心,广东广州,510080
- Keywords:
90°oblique lateral decubitus position;
pressure injury;
retroperitoneal laparoscopic surgery;
Departmentof Urology
- From:
Modern Clinical Nursing
2024;23(7):23-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application and effectiveness of the 90°oblique lateral decubitus position in retroperi-toneal laparoscopic urological surgery,providing a clinical approach to effectively reduce the incidence of pressure injuries on the skin.Methods A retrospective study was conducted on 60 urology patients who were admitted to the Department of Urology in our hospital from September to December 2023 for retroperitoneal laparoscopic surgery.The patients were divided into a traditional group and a trial group based on the surgical position,with 30 patients per group.A conventional 90°lateral decubitus position during surgery was applied to the patients in control group,while a 90°oblique lateral decubitus position was offered to the patients in trial group.The two groups were compared in terms of the incidence rate of skin pressure injury,lumbar back pain on the healthy side within 24 hours after surgery and the score of satisfaction from the surgical team.After controlling for demographic variables using logistic regression analysis,the risk of intraoperative pressure injury occurrence in the two groups of patients was found to be related to the group type.The risk of occurrence in the control group was 6.22 times that of the trial group.Results The observation group demonstrated a significantly lower incidence rate of postoperative skin pressure injury,a significantly lower postoperative lumbar back pain on the healthy side within 24 hours,and a significantly higher score in the surgical team satisfaction compared with those of the control group(all P<0.05).Conclusion In retroperitoneal laparoscopic urological surgery,the 90° oblique lateral decubitus position shows a superiority to the conventional lateral decubitus position in reducing the incidence rate of postoperative pressure injury and decreasing the lumbar back pain on the healthy side.
