甲状腺手术体位摆放时机的临床研究

Timing of positioning patients for thyroid surgery

目的探讨甲状腺手术患者体位不同摆放时间对其术后不适反应的影响,为选择甲状腺手术最佳体位摆放时间提供参考。方法将入选的448例甲状腺手术患者按照入院先后顺序编号,按单双号分为观察组和对照组各224例,观察组在麻醉诱导前摆好体位,对照组于麻醉插管后摆放体位。结果两组麻醉插管时间、手术时间、手术体位维持时间比较,差异无统计学意义(均P>0.05)。观察组术后颈肩腰部疼痛程度、咽部不适及恶心呕吐发生率显著低于对照组(均P<0.01)。结论甲状腺手术患者麻醉前摆放体位可以有效降低患者术后不适反应,减轻患者痛苦,且能提高工作效率。

Objective To compare the effect of positioning patients for thyroid surgery at different time on postoperative discomforts, and to provide references for optimal positioning time for thyroid surgery. Methods According to admission order odd and even numbers,a total of 448 patients to receive thyroid surgery were divided into an observation group （odd numbers） and a control group （even numbers）, each of 224 cases. Patients were placed in proper position before the induction of anesthesia （the observa tion group）, or after the induction of anesthesia （the control group）. Results The time to perform endotracheal intubation, the lengths of surgeries, and the time to maintain surgical positions as required had no significant differeces between the two groups （P〉0.05 for all）. The incidence rates of pain in the neck and back after operation, throat discomfort,nausea and vomiting of the observation group were significantly lower than those of the control group （P〈0.01 for all）. Conclusion Positioning patients for thyroid surgery before the induction of anesthesia can effectively alleviate patients/ postoperative discomfort, lessen their sufferings, and improve work efficiency.