Effects of different lower limb placement angles on venous drainage among patients undergoing thoracolumbar surgery in prone position
10.3760/cma.j.cn115682-20191024-03845
- VernacularTitle:不同下肢摆放角度对俯卧位胸腰椎手术患者静脉回流的影响
- Author:
Peng LIU
1
;
Xuejun CUI
;
Na NI
;
Shuang LI
;
Chenxia LIU
;
Ning WANG
;
Jun LI
;
Mingjun LIU
;
Zongyang QU
Author Information
1. 北京医院手术室 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Operating Room nursing;
Prone position;
Thoracolumbar surgery;
Venous drainage
- From:
Chinese Journal of Modern Nursing
2020;26(23):3243-3247
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of different lower limb placement angles on venous drainage among patients undergoing thoracolumbar surgery in prone position.Methods:From January 2017 to January 2018, we selected patients underwent elective thoracolumbar surgery in prone position of Operating Room in Beijing Hospital as research objects. According to the need of surgery, it was divided into 51 cases in low-angle group and 54 cases in traditional-angle group. We compared effects of different lower limb placement angles on patients by taking the changes of lower limb venous blood flow under ultrasound before and after surgery as main observation indicators and taking changes of lower limb skin temperature and leg circumference as the secondary observation indicator.Results:There were statistical differences in the changes of blood flow on the left and right popliteal veins, the left and right posterior tibial veins of patients under ultrasound between two groups before and after surgery ( P<0.05) . There were no statistical differences in the changes of the leg circumference of 10 cm above the left and right ankles and the changes of the leg circumference of 15 cm above the left and right patellae of patients between two groups ( P>0.05) ; there was also no statistical difference in the change of bilateral skin temperature ( P>0.05) . Conclusions:The lower limb placement angles among patients undergoing thoracolumbar surgery in prone position may affect the venous drainage which nurses of Operating Room should pay attention to when placing positions.
