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目的探讨改良体位训练对甲状腺手术病人的临床效果。方法对照组应用常规手术体位,术前不进行护理干预;实验组护理人员应用自制训练枕尽心术前准备,帮助病人术前体位训练。改变软垫的高度,确保姿势标准的同时提高舒适度。术前干预多在餐后2小时,刚开始持续5-10min,适应后可达2小时。结果对甲状腺手术病人进行改良体位训练后,舒适度大大增加,焦虑及疲劳程度减轻,头晕、头痛、恶心、呕吐等症状明显减少。彩色多普勒检查对照组与实验组相比,血流速度及血流量减少,病人更易发生脑缺血,出现恶性呕吐等。结论有效改良体位训练可以极大降低甲状腺手术后病人综合征的发生率,值得临床上广泛应用。
Objective To explore the clinical effect of modified position training on thyroid surgery patients. Methods The control group was given conventional surgical position without nursing intervention before operation. The nursing staff in the experimental group used the homemade training pillow to do the preoperative preparation and help the patient to exercise preoperatively. Change the height of the cushion to ensure that the posture is standard while increasing comfort. Preoperative intervention in the postprandial 2 hours, just started for 5-10min, up to 2 hours after adaptation. Results After the thyroid surgery patients improved position training, comfort increased significantly, anxiety and fatigue reduced, dizziness, headache, nausea, vomiting and other symptoms significantly reduced. Color Doppler examination compared with the experimental group, the blood flow velocity and blood flow decreased, patients are more prone to cerebral ischemia, vomiting and so on. Conclusion Effective improvement of posture training can greatly reduce the incidence of post-thyroid surgery syndrome, it is widely used in clinical practice.