电动充气式体位垫在腹腔镜下直肠癌根治术中的应用

Abstract
Figure/Table
References (28)
Related Citation (15)

Download: PDF (933 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the application of electric inflatable body position pad in laparoscopic radical resection of rectal cancer. Methods A total of 72 patients with rectal cancer underwent laparoscopic radical resection from May 2019 to July 2020 in Affiliated Hospital of Nantong University were selected. According to the random number table method, 36 patients were divided into control group, conventional transverse occipital exposure of the anal orea was used. In the observation group, 36 patients were fully exposed to the anal surgical field by self-made electric inflatable pad. The placement of the position pad and the observation of the finishing time, postoperative skin compression of patients in the sacral tail, postoperative comfort, satisfaction of doctors, visiting nurses, and patient satisfaction were compared between the two groups. Results The positioning time, observation and finishing time, and total positioning time of the observation group were shorter than those of the control group, the differences were statistically significant (P ＜ 0.05). The skin of the sacral tail was intact in both groups, and the local hyperemia, redness and induration of the sacral tail in the observation group was significantly better than that in the control group, the differences were statistical significance (P ＜ 0.05). At 24 h and three days after surgery, the visual analog scale (VAS) score of the observation group was lower than that of the control group, the difference was statistically significant (P ＜ 0.05); there was no significant difference in VAS scores between the two groups on the 7th postoperative day (P ＞ 0.05). After surgery, the satisfaction of the three parties of doctors, nurses, and patients to the two groups of position pad was compared, the observation group was higher the control group, the difference was statistically significant (P ＜ 0.05). Conclusion The application of inflatable position pad in laparoscopic rectal cancer surgery can not only avoid postoperative lumbosacral pain and improve postoperative comfort of patients, but also reduce the time of position placement and repeated arrangement, protect the sacral tail skin of patients, and effectively improve the satisfaction of doctors, nurses, and patients.

Key words： Laparoscopy Rectal cancer Inflatable position pad Lithotomy position Lumbosacral pain Degree of comfort

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Peipei1 CHEN Yaxing1 JIANG Yun1 HU Jia1 NIU Shoujun1 QIAN Fei2 ZHU Qin1 NI Qingfeng2

Cite this article:

HUANG Peipei1 CHEN Yaxing1 JIANG Yun1 HU Jia1 NIU Shoujun1 QIAN Fei2 ZHU Qin1 NI Qingfeng2. Application of electric inflatable position pad in laparoscopic radical resection of rectal cancer[J]. 中国医药导报, 2022, 19(14): 166-170.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I14/166

[1] Keum N，Giovannucci E. Global burden of colorectal cancer：emerging trends，risk factors and prevention strategies [J]. Nat Rev Gastroenterol Hepatol，2019，16（12）：713-732.
[2] Mattiuzzi C，Sanchis-Gomar F，Lippi G. Concise update on colorectal cancer epidemiology [J]. Ann Transl Med，2019， 7（21）：609.
[3] 胡曙民，张成雄，史良会.经自然腔道取标本手术与传统腹腔镜手术治疗结直肠癌疗效的Meta分析[J].腹腔镜外科杂志，2021，26（2）：105-111，116.
[4] Mccombie AM，Frizelle F，Bagshaw PF，et al. The ALCCaS Trial：A Randomized Controlled Trial Comparing Quality of Life Following Laparoscopic Versus Open Colectomy for Colon Cancer [J]. Dis Colon Rectum，2018，61（10）：1156-1162.
[5] Chen K，Zhang B，Liang YL，et al. Laparoscopic Versus Open Resection of Small Bowel Gastrointestinal Stromal Tumors：Systematic Review and Meta-Analysis [J]. Chin Med J （Engl），2017，130（13）：1595-1603.
[6] 郭莉.手术室护理实践指南[M].北京：人民卫生出版社，2020.
[7] Clarke AM，Stillwell S，Paterson ME，et al. Role of the surgical position in the development of postoperative low back pain [J]. J Spinal Disord，1993，6（3）：238-241.
[8] 李莲英.改良截石位预防手术患者体位并发症的护理进展[J].中国当代医药，2015，22（19）：17-20.
[9] 刘霞，翁梅，王亚丽，等.可控充气式甲状腺楔形手术体位垫的制作与应用[J].护理学杂志，2017，32（14）：32-34.
[10] 孙晓铮.自制体位垫在腹腔镜直肠癌手术中的应用[J].护士进修杂志，2016，31（10）：950-951.
[11] 李慧霞.改良截石位对腹腔镜直肠癌根治术患者体位并发症及舒适度的影响[J].中国实用医药，2015，10（22）：263-264.
[12] Connelly M，Neville K. Comparative prospective evaluation of the responsiveness of single-item pediatric pain-intensity self-report scales and their uniqueness from negative affect in a hospital setting [J]. J Pain，2010，11（12）：1451-1460.
[13] 邱巧云，苏锦治，余添赐，等.改良体位垫配合漂浮体位在三踝骨折手术病人护理中的应用[J].全科护理，2020，18（30）：4137-4140.
[14] 李旸，王自强，杨昆.腹腔镜手术中结直肠癌患者体位选择对临床疗效的影响分析[J].中华普外科手术学杂志（电子版），2018，12（2）：140-143.
[15] 陈秀惠，朱小玲，王惠梅.直肠癌麦氏两种手术体位的手术配合办法比较[J].医学理论与实践，2018，31（22）：3436-3437.
[16] 郑休嘉.腹腔镜直肠癌手术压疮发生相关因素及护理对策[J].全科护理，2017，15（8）：971-972.
[17] 杨宝珍，蒋维连，秦春花，等.胸腰椎后路俯卧位手术体位安置的研究进展[J].当代护士（下旬刊），2020，27（7）：17-20.
[18] 李学思，赵婷婷，陈晓阳，等.妇科腹腔镜截石位手术发生压疮的相关因素及护理[J].中国实用护理杂志，2012， 28（16）：57-58.
[19] 北京护理学会手术室专业委员会.术中获得性压力性损伤预防与护理专家共识[J].中华现代护理杂志，2020， 26（28）：3853-3861.
[20] 柏树令.系统解剖学[M].北京：人民卫生出版社，2010.
[21] 邹烨.基于合理支撑研究的腰垫设计[D].杭州：浙江大学，2007.
[22] 李莉，王生.坐位作业腰部负荷的实验研究[J].北京医科大学学报，1996（3）：233.
[23] 武宝国.腰垫对直肠癌手术后腰痛的预防效果观察[J].天津护理，2019，27（2）：207-208.
[24] 刘九思.经自然腔道取标本手术在腹腔镜下直肠癌手术中的应用疗效分析[J].当代医学，2020，26（27）：13-15.
[25] 李春柳，张秀果，李书强，等.科级质量管理七步流程的效果评价[J].护士进修杂志，2021，36（2）：120-123.
[26] 郭然，胡琳琳，胡志民，等.我国三级中医医院与综合医院门诊患者满意度关键驱动因素的比较[J].中国医药导报，2021，18（15）：133-136，148.
[27] 蔡伟敏.肠系膜下动脉低位结扎在腹腔镜直肠癌根治术患者中的应用[J].中国当代医药，2020，27（20）：109-112.
[28] 毛伟鉴，杨华.多层螺旋CT血管造影三维重建在腹腔镜结直肠癌根治术中的临床指导价值[J].成都医学院学报，2021，16（2）：180-183.