马蹬型气动腿架在直肠癌根治术中的应用.pdf

第 45 卷第 11 期 温? 州? 医? 科? 大? 学? 学? 报 Vol.45 No.11 第201545 卷年 11 月 Journal温 of州 Wenzhou 医 科 大Medical 学 学 University 报 Nov.2015第 11 期 ·临?床?经?验· 马蹬型气动腿架在直肠癌根治术中的应用 施若霖1，林卫红1，熊响清2，宋华羽3，倪士昌3，左志贵3 （温州医科大附属第一医院，浙江 温州 325015，1.手术室；2.麻醉科；3.肛肠外科） [摘? 要] 目的：观察马蹬型气动腿架在直肠癌根治术中的应用效果。方法：选择连续硬膜外加全麻下行直 肠癌根治术的患者106 例，随机单盲法分为2组：对照组为传统截石位组，托腿板关节端置于腘窝处。试验 组为改良截石位，即用马蹬型气动腿架摆放，将其单纯支托小腿，小腿近水平位。比较2组体位摆放所需时 间、医师满意度及术后相关并发症的发生率。结果：试验组截石位摆放时间短于对照组，差异有统计学意 义（ P＜0．05）；医师满意率对照组为66.0%，试验组为98.1%，差异有统计学意义（P＜0．05）；对照组有3 例 发生下肢深静脉血栓形，4例下肢肿胀，试验组无相关并发症发生，2组比较差异有统计学意义（P＜ 0 ．0 5 ）。 结论：马蹬型气动腿架可缩短体位摆放时间，提高医师手术的满意度，减少术后并发症的发生。 [关键词] 马蹬型气动腿架；截石位；直肠肿瘤；外科手术；并发症 [中图分类号] R472.3 [文献标志码] B DOI: 10.3969/j.issn.2095-9400.2015.11.016 The effects of Power-lift Stirrups in radical resection of rectal carcinoma surgery? SHI Ruolin1, LIN Weihong1, XIONG Xiangqing2, SONG Huayu3, NI Shichang3, ZUO Zhigui3.? 1.Department of Nursing Operat- ing Room, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 2.Department of Anes- thesiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 3.Department of Anus Intestine Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015 Abstract: Objective: To obserre the effects of Power-lift Stirrups in radical resection of rectal carcinoma surgery. Methods: A total of 106 patients undergone radical resection of rectal surgery with continuous epidural anesthesia were randomly assigned to either control group or Power-lift Stirrups group. Patients in control group were placed in lithotomy position, while patients in Power-lift Stirrups group were positioned by the use of stir- rups under the calf which nearly horizontal. The assessment of position setup time, surge