体位干预预防甲状腺手术体位综合征的临床观察

Clinical observation about prevention from thyroidectory nursing posture syndrom by posture intervention

目的 :探讨体位干预对甲状腺手术体位综合征的影响。方法 :随机将 2 2 8例甲状腺手术患者分成两组 ,对照组 12 0例采用常规的手术体位 ,干预组 10 8例采用改进手术体位。对两组的手术时间、头颈部过伸位的时间及术后两组患者的头痛、恶心呕吐等进行对照。结果 :干预组并不增加手术难度及手术时间 ,但可显著缩短术中头颈部过伸位的时间 ;干预组头痛和恶心呕吐发生率均明显低于对照组 (P <0 0 1)。结论

Objective:To investigate for posture intervention on thyroidectory posture syndrom.Method:228 cases had been divided randomly into two groups.Intervention group accepted improved operational posture.While control group accepted routinal coperational posture.Result:In interventional group improved posture hadn't increase operation difficulty or enlongate duration,but reduce time duration of cervical hyper extension.So incidence of headache and nausea,vormitting significantly lower than control(P<0 01).Conclusion:Operational posture intervention can prevent or alleviate post thyroidectomy headache and nausea or vormitting.