改良半坐卧位在胸交感神经链切断术中作用探讨

Role of Improved Semi-recumbent Position in the Thoracic Sympathectomy Surgery

目的：探讨改良半坐卧位在胸交感神经链切断术中的临床效果。方法：回顾胸交感神经链切断术患者30例,将其分成实验组15例,对照组15例,为实验组患者头背部垫海绵,摇高病床,使患者呈30°-45°半坐卧位,手术时,根据需要向手术部位对侧倾斜30°,对照组采用常规侧卧位方法,呈90°,一侧手术完成后,安置患者,使其对侧90°侧卧位,继续手术。结果：与对照组相比,实验组的体位摆置时间更短（P〈0.01）,手术效果更佳。结论：对于胸交感神经链切断手术,采用半坐卧位的方法能够缩短医生手术时间,增加患者舒适度。

Objective： To investigate semi-lying position improved in the thoracic sympathectomy surgery clinical results.Methods：Retrospective thoracic sympathectomy surgery 30 patients will be divided into experimental group of 15 patients in the control group of 15 cases,the experimental group patients with head and back pad sponge,shaking high beds,the patient was 30°- 45° semi-recumbent position,surgery,surgical site as necessary to the contralateral tilt 30°, lateral position control group using conventional methods,was 90°, side of the surgery is completed,the patient placement to the contralateral 90 ° lateral position and continue operation.Results：Compared with the control group,the experimental group＇s position placement shorter（P〈0.01）,surgery better.Conclusion：For the thoracic sympathectomy surgery,the use of semi-recumbent position method can shorten the doctors surgery time,increase patient comfort.