体位护理干预对甲状腺手术患者椎动脉血流动力学的影响

Effect of Posture Nursing Intervention on Vertebral Artery Hemodynamics in Patients with Thyroid Surgery

目的分析甲状腺手术患者应用体位护理干预对椎动脉血流动力学的影响。方法选取2016年7月~2017年7月商丘市第四人民医院行常规体位护理的甲状腺手术患者30例为对照组,并选取2017年8月~2018年8月予以体位护理干预的甲状腺手术患者30例为观察组。观察两组椎动脉血流动力学指标与不良反应。结果术后,观察组左侧Vm(26.68±4.52)cm/s、Fv(248.96±72.25)m L/min高于对照组(24.35±4.27)cm/s、(203.24±69.20)m L/min,右侧Vm(25.50±4.06)cm/s、Fv(247.88±66.75)m L/min高于对照组(21.39±4.31)cm/s、(206.65±64.14)m L/min,差异有统计学意义(P<0.05);观察组甲状腺手术体位综合征(SPNV)发生率均低于对照组,差异有统计学意义(P<0.05)。结论针对甲状腺手术患者,应用体位护理干预可改善椎动脉血流动力学,减少SPNV发生,利于患者预后。

Objective To analyze the effect of posture nursing intervention on vertebral artery hemodynamics in patients with thyroid surgery. Methods 30 patients with thyroid surgery received routine posture nursing in Shangqiu fourth people＇s hospital from July 2016 to July 2017 were selected as control group, and 30 patients with thyroid surgery received posture nursing intervention from August 2017 to August 2018 were selected as observation group. The vertebral artery hemodynamics and adverse reactions in two groups were observed. Results After surgery, the left Vm and Fv in observation group [（26.68±4.52）cm/s,（248.96±72.25）m L/min] were higher than control group [（24.35±4.27）cm/s,（203.24±69.20）m L/min], the right Vm and Fv in observation group [（25.50±4.06）cm/s,（247.88±66.75）m L/min] were higher than control group [（21.39±4.31）cm/s,（206.65±64.14）m L/min]（P〈0.05）; The incidence of syndrome of postoperative nausea and vomiting（SPNV） in observation group was lower than that in control group（P〈0.05）. Conclusion Posture nursing intervention for patients with thyroid surgery can improve vertebral artery hemodynamics, reduce the incidence of SPNV and facilitate prognosis.