术前体位训练对甲状腺手术体位综合征的影响

Effect of the Preoperative Posture Training on the Postoperative Posture Syndrome of the Thyroid Surgery

目的探讨术前体位训练对甲状腺手术体位综合征的影响。方法随机将485例甲状腺手术患者分为两组,A组200例,术前不进行体位训练。B组285,术前进行体位训练,直至能坚持体位到手术所需要的时间。然后对2组患者术中及术后48h内出现头痛、呕吐进行观察,记录头痛、呕吐发生数,进行统计学分析。结果B组头痛发生率明显少于A组(p<0.01),呕吐发生率明显少于A组(p<0.01)。结论术前体位训练可有效地预防甲状腺手术体位综合征的发生,有利于患者的康复,值得临床推广应用。

Objective The effect of preoperative posture training on the postoperative posture syndrome of the thyroid surgery was discussed. Methods 485 thyroid patients were randomly divided into two groups, of which 200 cases had no prior training posture and 285 had the posture training until they could tolerance the time of the operation. The headache and vomiting in the patients in two groups were compared. Results The patients in group B had less headache and vomiting than that in group A （p 〈0.01）. Conclusion The occurrence of postoperative posture syndrome of the thyroid surgery could be prevented by the preoperative posture training effectively ,which could let patients rehabilitate earlier and should be adopted in clinic extensively.