在腹腔镜下子宫肌瘤剥除平卧位的改良与研究.docVIP

江苏大学继续教育学院 毕 业 论 文 论文题目：在腹腔镜下子宫肌瘤剥除 术平卧位的改良与研究 专 业： 护理学 姓 名： 赵学朋 学 号： 320211034532281 教 学 点： 徐州函授站 联系方式： 在腹腔镜下子宫肌瘤剥除术中平卧位的改良与研究 江苏省徐州市中心医院病房手术室 赵学朋 摘要 目的 探讨不同手术体位在腹腔镜下子宫肌瘤剥除术中的作用，使患者在术中有一个舒适、安全的体位，减少术后臂丛神经的损伤。 方法 选择妇科2012年1月至2012年8月120例子宫肌瘤患者，随即分为观察组和对照组，观察组 在麻醉前利用中单将双上肢舒适的包裹在身体的两侧，对照组 采用常规手术需要的体位即双上肢外展90度用约束带约束，观察两组患者在术后48小时的术后并发症，以及手术医生和患者对手术室的满意度。结果 观察组术后24小时并发症的发生率较对照组显著降低（P0.05），患者的满意度明显提高（P0.01），手术医生的满意度也明显提高（P0.01）。结论 利用中单将双上肢包裹在身体的两侧既扩大了手术医生的操作空间又减少了术后并发症的发生。 关键词 手术体位；腹腔镜；子宫肌瘤 In the laparoscopic uterine fibroids cystectomy of prostration and improvement and research Jiangsu province Xuzhou city hospital wards operation room Zhao Xuepeng Abstract: Objective To explore the different operation posture during laparoscopic uterine fibroids cystectomy in the role, so that the patient has a comfortable, security posture, reduce postoperative brachial plexus injury. Methods from January to 2012 2012 August 120 gynecological patients with uterine fibroids, were randomly divided into the observation group and the control group, the observation group in anesthesia using single double upper limb comfort package on opposite sides of the body, the control group using conventional operation need position namely double upper limb abduction 90 degree constrained constrained, observe two groups patients in the 48 hours of postoperative complications after operation of doctors and patients, and to the satisfaction of the operation room. Results in the observation group 24 hours after operation complication rate than the control group decreased significantly ( P0.05 ), patient satisfaction improved significantly ( P0.01 ), operation physician satisfaction also improved significantly ( P0.01 ). Conclusion the use of single double upper limbs wrapped in opposite sides of the body has expanded the operation doctor operation space and reduce the occurrence of postoperative compl