平卧位与头低脚高位腹腔镜全子宫切除术临床疗效的对比研究

A Comparative Study on the Clinical Efficacy of Laparoscopic Hysterectomy in the Supine Position and the Head-Low-Feet-High Position

目的:观察不同体位(平卧位与头低脚高位)对腹腔镜下行全子宫切除术患者临床疗效的影响。方法:对于2019年4月至2021年3月期间在辽宁省健康产业集团抚矿总医院行腹腔镜下全子宫切除治疗的86例患者进行前瞻性分析,严格遵循随机数字表法分为研究组与对照组。对照组43例,在腹腔镜下全子宫切除术治疗中应用传统头低脚高位;研究组43例,给予患者采用平卧位摆放。术后比较两组患者的舒适程度(依等级分布评价舒适程度)、术后相关并发症以及患者对体位摆放的满意度。结果:研究组患者术后舒适程度等级分布情况明显优于对照组,差异有统计学意义(Z=9.350,P<0.05);研究组患者的术后并发症总发生率(4.65%)显著低于对照组(23.26%),差异有统计学意义(χ^(2)=7.889,P<0.05);研究组患者对体位摆放的满意度(97.67%)显著高于对照组(72.09%),差异有统计学意义(χ^(2)=10.274,P<0.05)。结论:平卧位在腹腔镜下全子宫切除术中发挥积极作用,能够减少并发症,提高患者的舒适程度,进而获得患者认可,患者的满意度较高,具有普及应用价值。

Objective:To observe the influence of different postures(flat position and head-low-foot-high position)on the clinical efficacy of patients undergoing laparoscopic hysterectomy.Methods:Prospective analysis was conducted between April 2019 and March 2021 on 86 patients undergoing laparoscopic total hysterectomy,who were divided into research group and control group strictly with the random number table method.43 cases in the control group undergoing laparoscopic total hysterectomy had traditional head-low-feet-high position,and 43 cases in the research group had the supine position.Postoperatively,the two groups were compared on the comfort level(comfort level was evaluated according to grade distribution),postoperative complications and patients'satisfaction with body position placement.Results:The total incidence of postoperative complications in the study group(4.65%)was significantly lower than that in the control group(23.26%),the difference was statistically significant(χ^(2)=7.889,P<0.05).The distribution of postoperative comfort level in the study group was significantly better than that in the control group,the difference was statistically significant(Z=9.350,P<0.05).The total incidence of postoperative complications in the study group(4.65%)was significantly lower than that in the control group(23.26%),and the difference was statistically significant(χ^(2)=7.889,P<0.05).The satisfaction of patients with body position placement in the study group(97.67%)was significantly higher than that in the control group(72.09%),the difference was statistically significant(χ^(2)=10.274,P<0.05).Conclusion:The supine position plays a positive role in laparoscopic total hysterectomy by reducing complications,improving the patient's comfort degree,and winning the patient's approval.It has the value of universal application due to patient's satisfaction.