摘要
目的 探讨一种改良型剖腹单在骨科双下肢手术中的应用效果.方法 选择2020年1月至2024年4月南京医科大学附属苏州医院腰硬联合麻醉下行双侧膝关节单髁表面置换术的96例患者,其中女71例,男25例;年龄52～85岁,平均(69.53±7.05)岁.对照组48例采用临床上传统的棉质布类单孔剖腹单,观察组48例使用改良型双孔剖腹单.分析两组患者手术时长、术中体温降幅、术中平均动脉压波动程度、手术医生满意度、术中出血量.结果 观察组手术时长、术中体温降幅、术中平均动脉压波动程度均明显低于对照组(P＜0.05),医生满意度明显高于对照组(P＜0.05).两组术中出血量比较,差异无统计学意义(P＞0.05).结论 骨科双下肢手术中使用改良型剖腹单可有效节省手术时间,减少术中体温降幅,减轻患者术中平均动脉压波动程度,医生总体满意度较高,值得推广应用.
Abstract
Objective To explore the effectiveness of a modified laparotomy drape in orthopedic surgery involving both lower limbs.Methods A total of 96 patients,who underwent bilateral knee joint unicompartmental arthroplasty under combined spinal-epidural anesthesia at Suzhou Municipal Hospital of Nanjing Medical University Affiliated Hospital between January 2020 and April 2024,were selected.Among them,71 were female and 25 were male,aged 52 to 85 years with a mean of(69.53±7.05)years.The control group(48 patients)utilized the conventional single-port cotton laparotomy drape,while the observation group(48 patients)used the modified double-port laparotomy drape.Comparisons between the two groups were made in terms of surgery duration,intraoperative temperature reduction,fluctuation of intraoperative mean arterial pressure,surgeon satisfaction,and intraoperative blood loss.Results The observation group exhibited significantly lower surgery duration,intraoperative temperature reduction,and mean arterial pressure fluctuation compared to the control group(P＜0.05).Surgeon satisfaction was significantly higher in the observation group,with statistically significant differences(P＜0.05).However,there was no statistically significant difference in intraoperative blood loss between the two groups(P＞0.05).Conclusion The use of the modified laparotomy drape in orthopedic surgery involving both lower limbs effectively reduces surgery duration,minimizes intraoperative temperature reduction,and alleviates mean arterial pressure fluctuations,with a high level of surgeon satisfaction.Therefore,it is worthy of further promotion.
基金项目
江苏省医院管理协会2024年度医院管理创新研究课题(JSYGY-3-2024-536)
实用新型专利(2L202122463091.0)
维普
万方数据