改良斜仰卧位对腔镜心脏外科手术体位患者相关周围神经损伤及术后相关肢体功能的影响

Effect of modified oblique supine position on peripheral nerve injury and related limb function in patients with endoscopic cardiac surgery

目的探讨改良斜仰卧位对腔镜心脏外科手术体位患者相关周围神经损伤及术后相关肢体功能的影响。方法选取2018年10月至2019年10月本院行腔镜心脏手术患者78例为研究对象,将其等分为对照组和研究组,对照组患者行传统斜仰卧位,研究组患者行改良斜仰卧位,比较两组患者疼痛评分与运动功能评分及收缩压、舒张压、心率。结果术后研究组疼痛评分低于对照组(P<0.05),运动功能评分高于对照组(P<0.05);安置后3 min研究组收缩压、舒张压、心率均低于对照组(P<0.05)。结论心脏外科手术患者采取改良斜仰卧位,能够减少神经损伤,确保手术安全性,值得临床推广应用。

Objective To explore the effect of modified oblique supine position on peripheral nerve injury and related limb function in patients with endoscopic cardiac surgery.Methods To select 78 cases of patients undergoing endoscopic cardiac surgery in our hospital from October 2018 to October 2019 as the study objects,and they were divided into a control group and a study group.The patients in the control group were in the traditional oblique supine position and the patients in the study group were in the modified oblique supine position to compare the pain score,motor function scores,systolic blood pressure,diastolic blood pressure,and heart rate of the two groups.Results The pain score in the study group was lower than that in the control group after operation(P<0.05),and the motor function score was higher than that in the control group(P<0.05).Three minutes after placement,the systolic blood pressure,diastolic blood pressure,and heart rate of the study group were lower than those of the control group(P<0.05).Conclusion The modified oblique supine position for patients undergoing cardiac surgery can reduce nerve damage and ensure the operation safety.It was worthy of clinical promotion and application.