改良体位预防患者在达芬奇机器人手术中医疗器械相关压力性损伤的效果观察

Effect of Modified Management of Surgical Position on Prevention of Medical Instrument-related Injury during Robot-assisted Surgery

目的探讨改良体位管理在达芬奇机器人手术中预防患者医疗器械相关性压力性损伤的应用效果。方法选取2018年3月—2019年3月我院行机器人辅助手术前列腺癌根治患者。对照组采用常规体位管理方法,观察组改良体位管理。结果对照组发生面部1期压力性损伤4例,眼部1期压力性损伤1例,腿部1期压力性损伤1例。观察组无1例发生医疗器械相关性压力性损伤。2组前列腺癌手术患者医疗器械相关压力性损伤发生率比较差异有统计学意义(χ^2=4.296,P=0.038)。结论对达芬奇机器人辅助下保留耻骨后间隙的根治性前列腺切除术患者,术中采用改良体位管理,可降低医疗器械相关性压力性损伤发生。

Objective To investigagte the effect of modified management of surgical position on prevention of medical instrument-related injury.Methods From March 2018 to March 2019,patients who nderwent robot-assisted radical prostatectomy in our hospital were divided into control group receiving regular management of surgical position and test group receiving modified management.Results In the control group,4 cases of level-1 crush injury were observed in facial region while 1 case of level-1 crush injury was observed in the region of eye and leg respectively.In the test group,no crush injury was observed.The incidence of medical instrument-related pressure ulcer in the two groups indicated statistical significance(χ^2=4.296,P=0.038).Conclusion Modified management of surgical position could reduce medical instrument-related injury during robot-assisted radical prostatectomy.