2种不同侧卧位在泌尿外科手术中的应用效果观察

The effect observation of two kinds of lateral position in the urology surgery

目的探讨2种不同侧卧位在泌尿外科手术中的应用效果。方法选择我院泌尿外科2011年2月～2012年2月收治的94例需进行手术患者,随机分为两组,对照组(47例)采用传统侧卧位进行手术;观察组(47例)采用改良侧卧位进行手术。观察两组患者对皮肤的受压情况以及在腰桥升高前后的心率、血压、血氧饱和度(SpO2)的变化情况。结果对照组皮肤压疮发生率为12.8%,而观察组为4.3%,两组比较差异有统计学意义(P<0.05);对照组和观察组患者心率在升高腰桥后均有所升高,与升桥前比较差异有统计学意义(P<0.05);收缩压及SpO2比升桥前有所降低,比较差异无统计学意义(P>0.05)。结论改良式侧卧位能够有效减少手术患者并发症,值得在泌尿外科手术中推广应用。

Objective To investigate the effect of two kinds of lateral position in urological surgery.Methods 94 patients required surgery in urology of our hospital from February 2011 to February 2012 were randomly divided into control group and observation group,and each group had 47 cases.The control group was using the traditional lateral position for surgery while the observation group was given the modified lateral position for surgery.The pressure on the skin,as well as the heart rate,blood pressure,and blood oxygen saturation（SpO2） after the waist bridge increased were observed.Results The skin pressure ulcer incidence was 12.8% in the control group higher than 4.3% of the observation group（P〈0.05）;the heart rate of the two groups had increased after waist bridge elevated compared with before（P〈0.05） while the blood pressure and SpO2 had decreased compared before（P〉0.05）.Conclusion The modified lateral position can effectively reduce the complications of surgical patients,which is worth to be promoted and applied in urological surgery.