体位干预减轻甲状腺手术患者不适效果观察

目的:探讨体位干预对减轻甲状腺手术患者不适的效果。方法:选择甲状腺手术患者80例,随机分为两组,对照组采用传统甲状腺手术体位。观察组采取术前体位训练,术中体位改良的干预方法,并随手术进程调整体位。观察两组术中对体位的耐受情况;术后头痛、呕吐发生率。结果:观察组与对照组比较,术中体位耐受差分别为17.5%和42.5%,术后头痛发生率分别为27.5%和62.5%,术后呕吐发生率分别为22.5%和47.5%,差异均有统计学意义(P<0.05~P<0.01)。结论:体位干预可以提高患者对手术体位的耐受性,减少术后头痛、呕吐的发生,预防或减轻甲状腺手术体位对患者造成的不适。

Body position intervention for reducing the discomfort in patients undergoing thyroid operation

Objective:To probe into the effect of body position intervention in relieving the discomfort of patients undergoing thyroid operation.Methods:Eighty patients undergoing thyroid surgery were randomly divided into two groups.Control group adopted routine thyroid operation posture,and the observed group received body position intervention such as preoperative body position training,body position altering and body position adjusting in the process of operation.Then the postural tolerance in the operative process,and the occurrence of headache and vomiting of the patients were observed.Results:The position tolerance in the observed group and control group was 17.5% and 42.5%,and the incidence of postoperative headache was 27.5% and 62.5%,respectively.The incidence of postoperative vomiting was 22.5% and 47.5%,respectively.The difference was significant between the two groups (P<0.05 to P<0.01).Conclusions:Postural intervention could improve the toleration,reduce the postoperative headache and vomiting,and prevent or relieve the postural discomfort of the patients undergoing thyroid surgery.