摘要
目的 分析改良截石位在腹腔镜全子宫切除术中的应用效果。方法 以25例2018年4月~2022年5月期间于本院行腹腔镜全子宫切除术的患者为研究对象,术中均采用改良截石位。分析患者术中体位调整情况、舒适度以及术后并发症发生情况。结果 术中行改良截石位后,未再出现体位调整情况,患者舒适度情况:0分28例、1分2例、2分0例。术后,患者未有下肢静脉血栓、压力性损伤与下肢肿胀等并发症出现。结论 改良截石位可提升行腹腔镜全子宫切除术的患者舒适度,减少下肢DVT等并发症。
关键词: 腹腔镜全子宫切除术;截石位;下肢静脉血栓;舒适度
Abstract
Objective To analyze the application effect of modified lithotomy position in laparoscopic total hysterectomy. Methods 25 patients who underwent laparoscopic total hysterectomy in our hospital from April 2018 to May 22 were selected as the study subjects, and the modified lithotomy position was used during the operation. The patients' posture adjustment, comfort and postoperative complications were analyzed. Results After the modified lithotomy position was performed during the operation, there was no body position adjustment, and the patient's comfort level was 0 points 28 cases, 1 points 2 cases, 2 points 0 cases. After operation, the patient did not have complications such as venous thrombosis, pressure injury and lower limb swelling. Conclusion The improved lithotomy position can improve the comfort of patients undergoing laparoscopic total hysterectomy and reduce complications such as lower limb DVT.
Key words: Laparoscopic total hysterectomy; Stone cutting position; Lower extremity venous thrombosis; Comfort
参考文献 References
[1] 哈娜娜, 李琳, 张仕杰. 纽曼健康系统干预对腹腔镜全子宫切除术患者积极应对方式的影响[J]. 中国计划生育学杂志, 2022, 30(6): 1300-1304.
[2] 赵艳春, 赵丽. 改良头低足高截石位对妇科腹腔镜手术病人并发症发生率及舒适度的影响[J]. 护理研究, 2019, 33(13): 2332-2334.
[3] 胡皓琳, 邱云. 改良"Z字形"屈氏位对腹腔镜子宫内膜癌根治术患者血流动力学的影响[J]. 中国实用护理杂志, 2021, 37(7): 511-516.
[4] 陈雪莉, 史艳蕾, 肖岩, 等. 改良体位护理在腹腔镜直肠癌Dixon手术患者中的应用[J]. 中国临床护理, 2021, 13(8): 478-481.
[5] 张力尹, 李春梅. 分腿位与截石位腹腔镜子宫切除术对患者血流动力学、呼吸功能及体位相关并发症的影响[J]. 临床和实验医学杂志, 2021, 20(6): 649-652.
[6] 倪前会, 周维艳. 妇科恶性肿瘤患者围手术期静脉血栓栓塞症预防护理的研究进展[J]. 中华现代护理杂志, 2022, 28(10): 1380-1384.
[7] 沈居丽, 贾惠芳, 郜玫, 等. 基于风险评估的集束化护理在预防全子宫切除术后下肢深静脉血栓中的应用[J]. 昆明医科大学学报, 2022, 43(2): 160-165.
[8] 刘舟芸. 基于溯源分析的体位改良管理在妇科腹腔镜患者手术体位并发症预防中的应用分析[J]. 中国药物与临床, 2020, 20(1): 153-156.