改良式胸科手术侧卧位的应用研究

Applicaion of modified lateral position in thoracic surgery

目的探讨应用胸科改良式手术侧卧位的临床效果。方法对40例胸科侧卧位手术患者采用改良式侧卧位安置法（实验组）并与40例按传统侧卧位安置法（对照组）进行比较，观察两组患者术中受压侧下肢静脉的压力变化与术后因侧卧位引起的并发症发生情况（包括臂丛神经损伤、皮肤压疮等）。结果实验组术中受压侧下肢静脉压力明显低于对照组，术后并发臂丛神经损伤、皮肤压疮、呼吸／循环系统并发症明显少于对照组。结论胸科改良式手术侧卧位的摆置方法能有效减少手术患者因体位引起的术中不适与术后并发症，保证手术安全。

Objective To investigate the clinical effect of modified lateral position in thoracic surgery. Methods A total of 80 patients undergoing thoracic surgery were randomly divided into study group （ n = 40 ） and control group （ n = 40 ）. The study group received modified lateral position, while the control group received traditional lateral position. The changes in inferior lower limb venous pressure and incidences of postoperative complications associated with the position including brachial plexus injury and skin pressure sores were observed in the two groups. Results The inferior lower limb venous pressure and the incidence rates of postoperative brachial plexus injury and skin pressure sores were significantly lower in the study group than in the control group. Conclusions Modified lateral position in thoracic surgery can effectively decrease discomfort and rate of complications by body position. It can ensure safety of surgery.