护理干预对截石位手术患者血压变化的影响

Influence of nursing intervention on blood pressure change for patients with lithotomy positionsurgery

目的探讨医用弹力绷带及下肢被动运动护理干预对截石位手术患者血压变化的影响。方法选取我院采取截石位手术的患者300例，随机分为3组各100例。其中A组仅行常规护理，作为对照组；B组在常规护理的基础上给予医用弹力绷带护理干预；c组在B组措施的基础上给予下肢被动运动护理干预。对3组患者血压的波动情况进行比较。结果未经过医用弹力绷带与下肢被动运动护理的患者，双下肢放平后血压明显降低；平均动脉压在放平双下肢即刻以及5min后明显降低；上述改变与B、C组经过护理干预的患者相比差异有统计学意义。结论医用弹力绷带与下肢被动运动2种护理干预的方式均对截石位手术患者起到了稳定血压的作用，值得临床推广。

Objective To investigate the effect of medical elastic bandage and passive lower limb movement on blood pressure changes for patients with lithotomy surgery. Methods 300 cases of lithoto- my surgery patients in our hospital were randomly divided into three groups with 100 cases in each group. Group A was taken with routine care as the control group. Group B was taken with the medical elastic ban- dage based upon routine care. Group C was given passive movement in the lower limb based upon routine care. The blood pressure changes for three groups of patients were compared. Results The lower extremi- ties flat blood pressure was significantly reduced for patients of group A. The average arterial blood pressure decreased significantly at the flat lower limb immediately and after 5 min. The changes were statistically significant compared with patients of group B and C. Conclusions The medical elastic bandages and lower limb passive motion play a role in stabilizing the blood pressure of patients with lithotomy position surgery, which is worthy of clinical promotion.