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    体位改进在腹腔镜胃减容术中的应用

    Application of body position improvement in laparoscopic sleeve gastrectomy

    • 摘要: 探讨体位改进在腹腔镜胃减容术中的应用效果。方法:选择2016年1月~2018年2月腹腔镜下胃减容手术84例,通过不同的体位放置方法对比两组患者不同时间点血流动力学指标,观察患者在术后的皮肤受压状况、异常感觉、并调查患者对围术期护理的满意度。结果:采用体位改进后,试验组患者皮肤受压、异常感觉状况和患者满意度均优于对照组,(P<0.05)。结论:采用改进后的体位放置方法可以减轻患者术中压力性损伤和皮神经损伤的发生,提高了患者对围术期护理的满意度。

       

      Abstract: Objective: To explore the effect of the improvement of intraoperative body position in laparoscopic sleeve gastrectomy (LSG). Methods: Retrospective analyzing 84 cases of LSG performed in the hospital Affiliated Xuzhou Medical University from January 2016 to February 2018. We compared the hemodynamic parameters at different time points, skin pressure status, postoperative abnormal sensation and patients’ nursing satisfaction in the perioperative period between two groups according to different position. Results: The skin compression, skin abnormal sensation and nursing satisfaction of the patients in the test group were better than those of the control group after the improvement of the body position(P<0.05). Conclusion: The improved position could decreased the occurrence of intraoperative pressure injury and cutaneous nerve injury and improved patients’ perioperative nursing satisfaction.

       

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