两种不同体位垫在俯卧位脊柱手术中的应用观察.docVIP

精品论文 参考文献 两种不同体位垫在俯卧位脊柱手术中的应用观察 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院骨软组织科 湖南长沙 410013 【摘 要】目的：对比两种不同体位垫在俯卧位脊柱手术中的应用效果。方法：选取86例俯卧位脊柱手术患者作为研究对象，随机进行分组，对照组和观察组均43例；对照组采取传统的头圈和软垫，观察组采取高分子凝胶啫喱垫；对比两组患者手术前后的足背动脉压、平均动脉压（MAP）、中心静脉压（CVP）及气道阻力（RAW），根据皮肤受压情况，综合评价体位垫在俯卧位脊柱手术中的应用效果。结果：手术前，两组患者的足背动脉压、MAP、CVP、RAW均无显著性差异（P＞0.05）；手术后，观察组患者的足背动脉压、MAP、CVP均显著高于对照组，RAW显著低于对照组；两组数据具有显著性差异（P＜0.05）；观察组皮肤不良反应发生率为18.60%，对照组皮肤不良反应发生率为41.86%；两组数据具有显著性差异（P＜0.05）。结论：高分子凝胶啫喱垫在俯卧位脊柱手术中的应用效果优于传统的头圈和软垫，对患者的循环系统、呼吸功能影响小，且皮肤不良反应发生少，安全性较高，值得临床推广使用。 【关键词】俯卧位脊柱手术；体位垫；应用效果 [Abstract] Objective：To compare application effect of two different posture mat for prone position spine surgery. Methods：86 cases of patients for spinal surgery were selected as research subjects and were randomly assigned into control group and observation group 43 cases each；The control group were received traditional cushion pad，the observation group received the polymer gel pad；Dorsal artery pressure，mean arterial pressure（MAP），central venous pressure（CVP）and airway resistance（RAW），according to the pressure on the skin，the comprehensive evaluation of posture mat in the prone position spine surgery effect before and after surgery were compared between two groups of patients. Results：There were no significant difference（Pgt;0.05）regarding to the patients dorsal artery pressure groups，MAP，CVP，RAW between two groups preoperation；Dorsal arterial pressure，MAP，CVP in the observation group，were significantly higher than the control group，RAW in the observation group was significant lower than the control group；There were significant difference between two sets of data（Plt;0.05）；Skin adverse reaction rate in the observation group was 18.60% and was 41.86% in the control group with significant difference（Plt;0.05）. Conclusion：The polymer gel pad in the prone position Spine Surgery showed better result than traditional first lap and cushion. Affect to patients circulatory system，respiratory function is minor，and less skin reactions with，higher safety，w