凉液垫在手术体位摆放中的应用

Application of cool liquid cushion in operative position placement

[目的]探讨凉液垫在手术体位摆放中的应用效果。[方法]选取在我院手术室手术体位分别是仰卧位、侧卧位、截石位、俯卧位且摆放时间超过4h的病人各60例,共240例,随机分为对照组和试验组各120例。对照组按常规方法摆放手术体位,受压处常规给予海绵垫保护;试验组应用不同规格的凉液垫放置在受压部位进行保护,比较两组病人压疮发生情况及体位所需的生理弯曲符合情况。[结果]试验组病人压疮发生率低于对照组,体位所需的生理弯曲符合率高于对照组,差异均有统计学意义(P<0.05)。[结论]在手术体位摆放中应用凉液垫保护病人受压部位,可降低压疮的发生率,增加病人的体位生理弯曲符合度,提高病人的舒适性。

Objective：To probe into the application effect of cool liquid cushion in the placement of operation position. Methods：Each 60 cases of patients were selected whose surgical positions in operating room in our hospital were respectively supine position, lateral position, lithotomy position, prone position and the placed time more than 4 hours, a total of 240 cases. They were randomly divided into control group and experimental group, 120 cases in each. The patients in control group were treated by routine methods to put the operation position, and the conventional cushion protection was given in compressed sponge. In experimental group, different specifications of cool liquid cushion was placed in pressure areas to protect,then to compare the pressure ulcer conditions and required physiological bending in posture compliance between two groups of patients. Results： The incidence of pressure sores in experimental group patients was lower than that in control group, the compliance rate of physiological curve required for position was higher than that in control group,and there was statistically significant difference （P〈0.05）. Conclusion： The cool liquid cushion applied for protecting pressured parts in position placement of operation patients can reded the incidence of pressure sore and increase the compliance rate of patient＇s posture physiology bending and improve patients;comfort.