| 袁雪丽,周宏玉.气管推移训练对于不同节段颈椎前路手术的影响[J].上海护理,2018,18(11): |
| 气管推移训练对于不同节段颈椎前路手术的影响 |
| The influence of preoperative trachea shift trainingto anterior cervical surgery with various segments |
| DOI： |
| 中文关键词: 气管食管推移 不同节段 颈椎前路 |
| 英文关键词: |
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| 中文摘要: |
| 【】 目的：探讨气管推移训练对于不同节段颈椎前路手术患者术后并发症的影响。方法：随机选取2015年2月至2016年12月我科收治的126例颈椎病行前路手术患者,训练组与非训练组分别为62例、64例,其中训练组内单节段、两节段、三节段分别为20、21、21例,非训练组内单节段、两节段、三节段分别为21、22、21例。训练组按常规行术前气管推移训练,非训练组不行气管推移训练。记录并对比两组患者手术时间,术中心率、血压、血氧饱和度,术后24h时咽部视觉模拟评分(Visual Analogue Score,VAS)及咽喉相关并发症发生率等情况。结果：单节段、两节段颈椎前路手术患者在术中生命体征、术后VAS评分等方面比较差异无统计学意义。三节段颈椎前路手术患者中,训练组术后VAS评分为(1.71±1.10)分,非训练组术后VAS评分为(2.81±1.29)分,两组比较有统计学差异(t=-2.959, P=0.005);训练组术中收缩压为(136.09±9.06)mmHg,非训练组术中收缩压为(145.05±14.23)mmHg,两组比较有统计学差异(t=-2.433, P=0.020)。非训练组VAS评分与手术时间存在明显正相关(r=0.688,P＜0.001)；训练组VAS评分与手术时间同样存在明显正相关(r=0.320,P＝0.011)。结论：颈椎前路手术时间越长,术后咽部疼痛越明显,气管推移训练可明显减轻多节段颈椎前路手术患者咽部不适。 |
| 英文摘要: |
| Objectives：To investigate the influence of preoperative trachea shift training to postoperative complications of anterior cervical surgery with various segments. Methods：126 patients with CSM who underwent anterior cervical surgery between February 2015 and December 2016 were analyzed in this study.All patients were randomly divided into two groups:training group(62 cases) and non-traning group(64 cases).Single,two and three segments patients in training group were 20,21,21cases respectively, in non-traning group were 21,22,21 cases respectively. Patients in the training group had training of pushing trachea and esophagus,while patients in the non-training group not,recording and compared the data of surgery duration,blood pressure,heart rate,oxygen saturation during operation ,VAS scores andcomplication rates of pharyngeal.Result: There were no differences between two groups with single,two segments anterior cervical surgery in intraoperative vital signs, postoperative VAS scores. Among three segments anterior cervical surgery,VAS scores of traning group and non-traning group are (1.71±1.10) scores, and (2.81±1.29) scores, the difference is significant(t=-2.959,P=0.005). Systolic pressure of traning group and non-traning group are(136.09±9.06)mmHg,and (145.05±14.23)mmHg, the difference is significant(t=-2.433, P=0.020). There is a linear correlation and positive correlation between VAS score and surgery duration( r=0.688,P＜0.001) in non-training guoup, Equally,there is a linear correlation and positive correlation between VAS score and surgery duration(r=0.320,P＝0.011) in training group.Conclusion: The longer the anterior cervical operation time,the more postoperative throat pain obvious. Preoperative trachea shift training can significantly reduce multiple segmental anterior cervical surgery patients with pharyngeal discomfort. |
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