手术体位架的改进对直肠癌术中压疮的影响

The Effect of Improved Posture Frame on Pressure Ulcer in Rectal Cancer Surgery

目的探讨在直肠癌术中,新型体位架对患者压疮发生率的控制效果。方法方便选取该院2014年1月—2016年12月接诊直肠癌根治保肛术患者56例,根据患者入院顺序将其随机分为两组,对照组28例行传统体位架进行体位摆放,实验组28例行新型体位架进行体位摆放,运用Braden压疮危险因素量化评估法评估患者术中压疮危险等级,同时测评患者体位舒适度。结果对照组压疮发生率为17.86%,且出现了高度危险与中度危险;实验组压疮发生率为3.57%,仅低度危险(P<0.05);对照组体位不适度发生率为28.57%,实验组体位不适度发生率为3.57%(P<0.05)。结论直肠癌手术中,通过对传统体位架进行改进,可有效实现对术中压疮发生率及危险等级的控制,以及提高患者体位舒适度,值得推广。

Objective This paper tries to investigate the effect of new posture frame on the incidence of pressure sores in rectal cancer surgery. Methods 56 patients with rectal cancer treated by radical resection of rectal cancer from January2014 to December 2016 in this hospital were conveniently selected and randomly divided into two groups according to the admission order, 28 patients in the control group adopted the traditional posture frame position, 28 cases in the experimental group adopted new posture frame position. The Braden pressure ulcer risk quantitative assessment method was used to assess pressure ulcer risk and patients’ comfort degree. Results The incidence of pressure sores in the control group was17.86%, and high risk and moderate risk occurred; the pressure ulcer incidence rate in the experimental group was 3.57%,only very small risk occurred（P〈0.05）; position discomfort incidence rate of the control group was 28.57%, and that of the experimental group was 3.57%（P〈0.05）. Conclusion In the rectal cancer surgery, the improvement of the traditional posture can effectively control the incidence rate of pressure ulcer and the level of risk, and improve patients’ comfort, therefore it is worth promotion.