电动充气式体位垫在腹腔镜下直肠癌根治术中的应用

Application of electric inflatable position pad in laparoscopic radical resection of rectal cancer

目的探讨电动充气式体位垫在腹腔镜下直肠癌根治术中的应用。方法选择南通大学附属医院2019年5月至2020年7月72例腹腔镜下直肠癌根治术患者,按照随机数字表法将其分为对照组36例,采用常规横条枕暴露肛门区手术野;观察组36例,采用自制电动充气式体位垫充分暴露肛门区手术野。比较两组体位垫的摆放及体位垫放置后观察整理时间、术后患者骶尾部皮肤受压情况、术后患者的舒适度、手术医生的满意度、巡回护士满意度、患者满意度的三方调查情况。结果观察组体位垫摆放时间、观察整理时间、总的体位摆放时间短于对照组,差异有统计学意义(P<0.05);两组骶尾部皮肤均完整,观察组骶尾部局部发生充血、红肿硬结等皮肤受压情况优于对照组,差异有统计学意义(P<0.05);术后24 h、术后第3天,观察组腰背部视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05),术后第7天,两组VAS评分比较,差异无统计学意义(P>0.05);术后医、护、患三方对两组体位垫满意度的比较,观察组高于对照组,差异有统计学意义(P<0.05)。结论采用充气式体位垫应用于腹腔镜下直肠癌手术,不仅能避免患者术后腰骶部疼痛,提高患者术后舒适度,还可以减少体位摆放及反复整理的时间,以及保护患者骶尾部皮肤,有效提高医生、护士、患者三方满意度。

Objective To investigate the application of electric inflatable body position pad in laparoscopic radical resection of rectal cancer.Methods A total of 72 patients with rectal cancer underwent laparoscopic radical resection from May 2019 to July 2020 in Affiliated Hospital of Nantong University were selected.According to the random number table method,36 patients were divided into control group,conventional transverse occipital exposure of the anal orea was used.In the observation group,36 patients were fully exposed to the anal surgical field by self-made electric inflatable pad.The placement of the position pad and the observation of the finishing time,postoperative skin compression of patients in the sacral tail,postoperative comfort,satisfaction of doctors,visiting nurses,and patient satisfaction were compared between the two groups.Results The positioning time,observation and finishing time,and total positioning time of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The skin of the sacral tail was intact in both groups,and the local hyperemia,redness and induration of the sacral tail in the observation group was significantly better than that in the control group,the differences were statistical significance(P<0.05).At 24 h and three days after surgery,the visual analog scale(VAS)score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05);there was no significant difference in VAS scores between the two groups on the 7th postoperative day(P>0.05).After surgery,the satisfaction of the three parties of doctors,nurses,and patients to the two groups of position pad was compared,the observation group was higher the control group,the difference was statistically significant(P<0.05).Conclusion The application of inflatable position pad in laparoscopic rectal cancer surgery can not only avoid postoperative lumbosacral pain and improve postoperative comfort of patients,but also reduce the time of position placement and repeated arrangement,protect the sacral tail skin of patients,and effectively improve the satisfaction of doctors,nurses,and patients.