体位模拟在钬激光碎石手术中的应用效果

目的 探讨钬激光碎石术病人在麻醉前实施体位模拟的应用效果。 方法 选取膀胱截石位行钬激光碎石术病人58例，随机分为观察组与对照组，每组29例，对照组采取常规安置截石位方法，观察组在麻醉前进行体位模拟。比较2组病人术后48 h体位并发症的发生情况及病人的舒适度、体位摆放时间、手术医生满意度。 结果 观察组术后48 h体位并发症的发生率低于对照组、病人舒适度优于对照组（P < 0.01）；体位摆放时间低于对照组，手术医生对手术体位摆放的满意度高于对照组（P < 0.01）。 结论 钬激光碎石术病人麻醉前实施体位模拟，可有效提升病人自主舒适感，缩短手术体位摆放时间，提高手术医生对手术体位摆放的满意度，降低病人手术体位并发症的发生，值得临床推广。

Application value of body position simulation in holmium laser lithotripsy surgery

Objective To investigate the effects of body position simulation in patients treated with holmium laser lithotripsy before anesthesia. Methods Fifty-eight patients treated with holmium laser lithotripsy were randomly divided into the observation group and control group(29 cases in each group).The control group was subjected to lithotomy position, and the observation group was subjected to postural simulation before anesthesia.The occurrence of postoperative postural complications, comfort of patients, postural placement time and surgeon satisfaction were compared between two groups. Results The incidence of postoperative 48 h postural complications in observation group was lower than that in control group, and the comfort level in observation group was better than that in control group(P < 0.01).The position placement time in observation group was lower than that in control group, and the satisfaction of surgeons to the position placement in observation group was higher than that in control group(P < 0.01). Conclusions The body position simulation in patients treated with holmium laser lithotripsy before anesthesia can effectively improve the patient's autonomous comfort, shorten the operative position placement time, improve the surgeon's satisfaction with the operative position placement, and reduce the incidence of postoperative complications.It is worthy of clinical promotion.