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目的探讨术中不同体位护理对长时间侧卧位手术患者急性压疮形成的影响。方法选取在我院收治的行侧卧位手术治疗的96例患者,随机分为对照组与观察组,各组48例,对照组未实施特殊干预,观察组则开展综合体位护理。对比两组患者术后舒适度情况及手术压疮的形成情况。结果观察组于术后观察3个时刻点的压疮发生率相比于对照组,均低于后者(P<0.05),压疮平均面积相比于对照组,明显小于后者(P<0.05)。观察组术后颈肩痛、上肢麻木及下肢麻木的发生率较之对照组,均低于后者(P<0.05)。结论针对长时间侧卧位手术患者,对其实施术中不同体位护理,可有效预防压疮,提升手术安全性,减少不适感。
Objective To investigate the effect of different postures on the formation of acute pressure ulcers in patients undergoing long-term lateral position surgery. Methods Ninety-six patients undergoing lateral surgical treatment in our hospital were randomly divided into control group and observation group, with 48 cases in each group. The control group received no special intervention and the observation group received comprehensive position nursing. The postoperative comfort and the formation of surgical pressure ulcer in both groups were compared. Results Compared with the control group, the incidence of pressure sores in the observation group at 3 time points after operation was lower than that of the control group (P <0.05), and the average area of pressure ulcers was significantly lower than that of the control group (P < 0.05). The incidence of postoperative neck and shoulder pain, numbness of upper limb and numbness of lower limb in observation group were lower than those in control group (P <0.05). Conclusion For long-term patients in lateral position surgery, the implementation of different positions during the nursing, which can effectively prevent pressure sores, improve surgical safety and reduce discomfort.