体位改良预防甲状腺术后压迫症状效果观察

Effects of Position Change Training for the Prevention of the Oppression Symptom After Thyroid Operation

目的探讨预防甲状腺术后出现压迫症状的最佳方法。方法将100例甲状腺手术患者随机分为对照组和观察组,各50例。手术时对照组取传统体位;观察组行体位改良训练,即术前设专人训练,按手术要求摆置患者体位,术中行体位改良,观察比较两组术后头痛、呕吐发生率。结果观察组头痛、呕吐发生率显著低于对照组(χ2=52.55、32.04,均P<0.01)。结论体位改良训练能有效预防甲状腺术后头痛、呕吐等压迫症状,使患者更易接受、配合手术,且省时省力,能体现人文关怀的现代护理理念。

Objective To find a better method for preventing the oppression symptoms after thyroid operation. Methods One hundred patients were divided into two group, a control group and an observation group, with 50 subjects in each group, Traditional posture training was used in the controls during operation. Modified posture training was employed in the observation group. The modified training involved trainer guiding the patients to assume body posi- tion as required by operation before operation and changing the position during operation. Occurrences of headache and vomiting were observed and compared after operation. Results Occurrence rate of headache and vomiting in the observation group was significantly lower than that of controls （X^2 =52. 55, 32. 04, P〈0.01 for all）. Conclusion Position change training can effectively prevent the oppression symptoms such as headache and vomiting etc. It helps patients to cooperate in operation and it is time- and labor-saving.