全麻的俯卧位腰椎手术患者不同术中护理方法效果对比

目的：探讨全麻插管后手术患者术中分别采取头面部普通U形头托摆放法和头面部三点摆放法后患者头面部并发症发生率，比较两种手术室护理方法对全麻俯卧位患者的保护效果。方法：以本院收治的56例全麻下采用俯卧位行腰椎手术患者作为研究对象，依据头面部摆放方法的不同，随机分为试验组和对照组，每组28例。对照组采取头面部普通u形头托摆放法，试验组采用头面部三点摆放法。观察两组患者是否出现皮肤压红或受损、眼部红肿畏光甚至视力减退等俯卧位头面部并发症，比较两组患者头面部并发症发生率。结果：试验组皮肤压红1例，无患者眼部出现不适，头面部并发症发生率为3．6％；对照组皮肤压红或受损8例，其中1例患者眼部出现红肿畏光现象，头面部并发症发生率为28．6％。结论：相较于头面部普通u形头托摆放法，头面部三点摆放法可有效降低全麻俯卧位患者头面部并发症发生率，值得进一步推广。

Comparison of the Effect of Different Nursing Methods in Patient with General Anesthesia in Prone Position of Lumbar Operation

Objective： To investigate the head and face complications after general anesthesia intuhation in patients with head and face were taken general U shaped head display method and the head face three point placement method, and the protection effect of patient on general anesthesia in prone position were compared between the two groups. Method： Fifty-six cases of patients in the hospital with general anesthesia in prone position of lumbar operation were selected as research objects.On the basis of the head and face different display method, they were randomly divided into the control group and the experimental group, 28 cases in each group.The control group was given the head and face of ordinary U shaped head display method while the experimental group was used the head face three point placement method of operation. The indicators between the two groups were compared after operation, such as appear red or damaged skin pressure, sore eyes photophobia and vision loss prone position the head and face complications and so on.Result： The experimental group had 1 case of red, with no eye discomfort, the complication rate of head and face was 3.6%; The control group had 8 cases of red or damaged skin pressure, including one case with ocular redness photophobia phenomenon, the occurrence rate of complications of head and face was 28.6%.Concluslon ： Compared to the head and face of general U shaped head display method, head and face three point placement method can effectively reduce the incidence of complications in patients with general anesthesia in prone position, worthy of further promotion.