摘要
目的 探究紫草油联合凝胶体位垫对俯卧位全身麻醉患者压疮的效果.方法 回顾性选取2019年12月至2022年12月新疆医科大学附属中医医院收治的100例俯卧位全身麻醉手术患者作为研究对象,根据治疗方法不同将患者进行分组:对照组(n=50)和研究组(n=50).对照组患者术中采用凝胶体位垫,研究组患者术中采用紫草油联合凝胶体位垫.比较两组患者发生压疮的情况与压疮个数、面积以及压疮分级,并对患者术后的疼痛及舒适度情况进行比较,观察并记录其临床指标.结果 两组患者头面部、髂嵴、前胸部、膝部、脚趾的压疮发生情况比较,差异均无统计学意义(P＞0.05),研究组患者的平均损伤个数、平均损伤面积分别为(2.34±0.98)个、(1.56±0.61)cm2,均低于对照组[(3.11±1.23)个、(2.15±0.87)cm2],差异均有统计学意义(P＜0.05).研究组患者压疮分级情况优于对照组,差异有统计学意义(P＜0.05).研究组患者术后即刻,术后12、24 h的视觉模拟评分法(VAS)评分分别为(3.08±0.56)、(2.37±0.98)、(1.34±0.36)分,均低于对照组[(4.22±0.87)、(3.67±1.12)、(1.84±0.67)分],差异均有统计学意义(P＜0.05),但两组患者术后72 h的VAS评分比较,差异无统计学意义(P＞0.05).研究组术后即刻,术后12、24、72 h的生理、心理精神、环境及社会文化方面的舒适度评分均高于对照组,差异均有统计学意义(P＜0.05).两组患者术后持续性疼痛发生情况、住院时间、住院费用比较,差异均无统计学意义(P＞0.05);研究组患者护理满意度为(88.26±4.98)％,高于对照组[(75.26±2.69)％],差异有统计学意义(P＜0.05).结论 在对俯卧位全身麻醉患者手术治疗时,采用紫草油联合凝胶体位垫进行治疗可以有效减少患者的住院时间及住院花费,缓解患者术后的疼痛程度,提高其舒适度,可应用于临床.
Abstract
Objective Study on the effect of comfrey oil combined with colloidal position pad on pressure sore in patients undergoing gen-eral anesthesia in prone position.Methods A total of 100 patients with general anesthesia in prone position admitted to Affiliated Hospital of Tra-ditional Chinese Medicine,Xinjiang Medical University from December 2019 to December 2022 were retrospectively selected as research subjects and grouped according to different treatment methods:the control group(n=50)and the study group(n=50).Patients in the control group were treated with gel pad during the operation,while patients in the study group were treated with comfrey oil combined with colloidel position pad during the operation.The occurrence,number,area,and grading of pressure ulcers were compared between two groups of patients.The postopera-tive pain and comfort of patients were compared,and clinical indicators were observed and recorded.Results There were no statistically signifi-cant differences in the occurrence of pressure injuries on the head and face,iliac ridge,anterior chest,knee and toe between the two groups(P＞0.05),the average number of injuries and average area of injuries in the study group were(2.34±0.98)pieces,(1.56±0.61)cm2,respec-tively,which were lower than those in the control group[(3.11±1.23)pieces,(2.15±0.87)cm2],the differences were statistically signifi-cant(P＜0.05).The grading of pressure injury in the study group was better than that in the control group,and the difference was statistically significant(P＜0.05).The visual analogue scale(VAS)scores of the study group patients immediately,12 h,and 24 h after surgery were(3.08±0.56),(2.37±0.98),and(1.34±0.36)points,respectively,which were lower than those of the control group[(4.22±0.87),(3.67±1.12),and(1.84±0.67)points],and the differences were statistically significant(P＜0.05),but there was no significant differ-ence in VAS scores 72 h after surgery between the two groups(P＞0.05).The comfort scores in physiological,psychological,environmental,and socio-cultural aspects of the study group were higher than those of the control group immediately,12 h,24 h,and 72 h after surgery,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in the incidence of postoperative persistent pain,length of hospital stay,and hospitalization costs between the two groups of patients(P＞0.05);the nursing satisfaction rate of the study group patients was(88.26±4.98)％,which was higher than that of the control group(75.26±2.69)％,and the difference was statistically sig-nificant(P＜0.05).Conclusion In the surgical treatment of prone general anesthesia patients,the use of comfrey oil combined with colloidal pad can effectively reduce the patients hospitalization time and hospitalization cost,relieve the postoperative pain degree of patients,improve their comfort level,and can be applied in clinic.
基金项目
新疆维吾尔自治区重点研发计划(2021B03006)
新疆医科大学附属中医医院院级项目(ZYY201924)
维普
万方数据