颈椎牵引器和马蹄型俯卧枕头在视网膜脱离患者术后护理中应用.docVIP

颈椎牵引器和马蹄型俯卧枕头在视网膜脱离患者术后护理中应用 　　[摘要] 目的 探讨颈椎牵引器和马蹄型俯卧枕头在视网膜脱离患者术后护理中的应用效果。 方法 将浙江省台州医院2011年1月～2013年6月收治的336例视网膜脱离患者随机分为观察组及对照组，每组168例，观察组术后采用颈椎牵引器将额面部支撑，同时采用俯卧枕头支撑头部，对照组患者仅给予常规俯卧体位，观察两组患者俯卧位时间、疼痛程度及并发症情况。 结果 观察组患者术后每天俯卧位时间[（12.86±2.17） vs （5.89±0.99）]h、俯卧位睡眠时间[（7.99±1.36） vs （4.86±0.79）]h显著长于对照组，差异有统计学意义（P0.05）。观察组患者术后头颈部疼痛、胸闷、腰痛、胸痛、手臂疼痛的发生率显著低于对照组，差异有统计学意义（P0.05）；疼痛程度则轻于对照组，差异有统计学意义（P0.05）；复位成功率显著高于对照组（96.43% vs 70.83%），差异有统计学意义（P0.05）。 结论 对视网膜脱离患者应用马蹄形俯卧枕联合颈椎牵引器能有效提高患者舒适度，延长患者俯卧时间，减少患者长时间俯卧引起的不适感，能有效预防并发症的发生，有利于患者预后。 　　[关键词] 颈椎牵引器；马蹄型俯卧枕头；视网膜脱离 　　[中图分类号] R779.6 [文献标识码] B [文章编号] 1673-9701（2015）09-0140-03 　　The application of cervical traction and horseshoe-shaped prostrate pillow retina detachment patients in postoperative care 　　LI Ping1 ZHOU Sudan1 SUN Zhuzhu1 GAN Shengwei2 　　1.Eye and Mouth Center，Zhejiang Taizhou Hospital，Taizhou 317000，China；2.Department of Ophthalmology，the First Affiliated Hospital of Chongqing Medical University，Chongqing 200025，China 　　[Abstract] Objective To investigate the application results of cervical traction and horseshoe-shaped pillow in retinal detachment patients prostrate postoperative care. Methods All 336 cases of retinal detachment patients were randomly divided into observation group（n=168）and control group（n=168） from Zhejiang Taizhou Hospital in January 2011 to June 2013. The observation group were treatment with the face amount of cervical traction device will support both the prostrate pillow supporting the head and the control group were treatmented with conventional prone position. The prone position time， the degree of pain and complications of two groups were observed. Results The patients prone position time（12.86±2.17 vs 5.89±0.99）h， prone sleep time（7.99±1.36 vs 4.86±0.79）h of observation group were longer than the control group（P 　　[Key words] Cervical traction； Horseshoe prostrate pillow； Retinal detachment 　　气体或眼内硅油填充联合玻璃体切割手术是目前治疗视网膜脱离的有效方法[1]。为了尽量减少患者术后并发症发生率及获得良好的手术效果，患者术后需要长时间保持俯卧位[2]。但长时间保持同一体位，容易