护理干预对老年患者截石位手术体位改变前后上下肢血压差影响的探讨.docVIP

护理干预对老年患者截石位手术体位改变前后上下肢血压差影响的探讨 　　[摘要] 目的 分析护理干预在老年截石位手术患者术后体位改变前后上下肢血压差中的效果。方法 选取2010年10月～2013年10月行截石位手术的老年患者60例，观察组1（30例）采用被动式运动法护理干预，观察组2（30例）采用弹力绷带法，同时选取30例常规护理患者为对照组。对比三组患者术后双下肢放平前及放平后1、5、15min的收缩压（SBP）、舒张压（DBP）、心率（P）及平均动脉压（MAP），体位改变前后上下肢SBP、DBP与MAP差值及并发症。结果 观察组1、2 SBP、DBP、P与MAP波动均小于比对照组，且观察组1波动小于观察组2；SBP、DBP与MAP在体位改变前后的差值均小于对照组，且观察组1差值小于观察组2；并发症发生率少于对照组，且观察组1少于观察组2（P0.05）。结论 对老年截石位手术患者在术后采用被动式运动法进行护理干预，可有效减少体位改变前后上下肢的血压差，值得推广。 　　[关键词] 护理干预；老年患者；截石位手术；体位；血压差 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 2095-0616（2014）04-132-04 　　Analysis on the effects of nursing intervention on blood pressure differences between upper and lower extremities before and after position change after lithotomy position surgery for elderly patients 　　LV Ping 　　Operation Room， Dongguan Guanghua Hospital，Dongguan 523416，China 　　[Abstract] Objective To analyze the effects of nursing intervention on blood pressure differences between upper and lower extremities before and after position change after lithotomy position surgery for elderly patients. Methods 60 elderly patients who were received lithotomy position surgery between October 2010 to October 2013 were selected. Observation group A（30 patients） was received nursing intervention of passive movement； observation group B（30 patients） was given elastic bandages； 30 patients who were received regular nursing care were selected as control group. The systolic blood pressure（SBP）， diastolic blood pressure（DBP）， heart rate（P） and mean arterial pressure （MAP） before and 1 min， 5 min and 15 min after both lower extremities were layed flat after surgery were compared between the three groups. The differences of SBP， DBP and MAP and complications before and after position change were also compared. Results The fluctuations of SBP， DBP， P and MAP in observation group A and B were both lower that those in control group， and the fluctuations in observation group A was lower than those in observation group B； the differences of SBP， DBP and MAP befo