Risk factors of pressure injury in gynecological laparoscopic lithotomy and nursing countermeasuresin operating room
妇科腹腔镜截石位手术压力性损伤的危险因素及手术室护理对策探讨

摘要

目的 本文探究妇科腹腔镜截石位手术压力性损伤的危险因素及手术室护理对策。方法 回顾性分析2020年1月-2022年12月期间在本院接受妇科腹腔镜截石位手术患者的临床资料为研究对象，共计50例，采用单因素及多因素Logistic回归分析压力性损伤的独立危险因素，制定对应手术室护理干预措施。结果 统计研究表明，50例患者中，压力性损伤5（10.00%），其中Ⅰ期损伤3（60.00%）、Ⅱ期损伤2（40.00%），Logistic回归分析显示，手术耗时≥4h、举宫器使用不合理、手术床骶骨受压迫、术中低体温、截石位摆放时机不合理、局部皮肤潮湿是发生压力性损伤的独立危险因素。结论 分析表明，妇科腹腔镜截石位手术有较大的风险会发生压力性损伤，影响压力性损伤的危险因素较多，为合理避免发生压力性损伤，有效的手术室护理对策十分重要，可有效降低压力性损伤发生率，有利于患者尽快康复。

Abstract

Objective To explore the risk factors of pressure injury in gynecological laparoscopic lithotomy and the nursing countermeasures in the operating room.
Methods The clinical data of 50 patients undergoing gynecological laparoscopic lithotomy in our hospital from January 2020 to December 2022 were retrospectively analyzed. The independent risk factors of stress injury were analyzed by single factor and multiple factor logistic regression, and nursing intervention measures were formulated for the operation room.
Results Statistical studies showed that 5 (10.00%) of the 50 patients suffered from pressure injury, including stage I injury 3 (60.00%) and stage II injury 2 (40.00%). Logistic regression analysis showed that the operation time was ≥ 4 hours, the use of uterine lifting device was unreasonable, the sacrum of the operating table was compressed, the body temperature was low during the operation, the timing of the lithotomy position was unreasonable, and local skin moisture was the independent risk factors for pressure injury.
Conclusion   The analysis shows that gynecological laparoscopic lithotomy has a high risk of pressure injury, and there are many risk factors affecting pressure injury. In order to reasonably avoid pressure injury, effective nursing measures in the operating room are very important, which can effectively reduce the incidence of pressure injury and help patients recover as soon as possible.