Clinical feasibility of side lying hanging posture in thoracoscopic lobectomy
Online published: 2023-11-15
目的 评价侧卧位吊手姿势在胸腔镜下肺叶切除术中的应用效果。 方法 连续收集2019年1月至2021年1月于广东省人民医院行胸腔镜下肺叶切除术的100例患者,根据随机数字表法分为对照组50例和观察组50例,对照组采取传统侧卧位托手姿势,观察组采取侧卧位吊手姿势。比较两组安置时间、Fromme术野质量评分标准(scores of surgical field quality,SSFQ)评分、Kolcaba舒适状况量表(general comfort questionnaire,GCQ)评分、不良反应发生率。 结果 与对照组比较,观察组安置时间、SSFQ评分显著降低(P < 0.05),GCQ各项评分及总分显著升高(P < 0.05),不良反应发生率显著降低(P < 0.05)。 结论 侧卧位吊手姿势在胸腔镜下肺叶切除术中取得了较好的应用效果,其不仅能够有效缩短安置时间、提高术野质量和舒适度,而且还能显著降低不良反应发生率,具有较高的临床参考价值。
林少敏 , 陈嘉萍 , 冯素多 , 周培明 , 吴展华 , 别逢桂 . 侧卧位吊手姿势在胸腔镜下肺叶切除术中临床应用效果[J]. 实用医学杂志, 2023 , 39(20) : 2608 -2611 . DOI: 10.3969/j.issn.1006-5725.2023.20.009
Objective To investigate the efficacy of lateral recumbent sling posture in thoracoscopic lobectomy. Methods We consecutively collected 100 patients who underwent thoracoscopic lobectomy in our hospital from January 2019 to 2021, and were divided into 50 cases for both observation group and control group, respectively, according to the random number table method. The control group took the traditional lateral decubitus position, and the observation group took the hanging posture from lateral decubitus position. Duration of placement, the data about Fromme surgical field quality (SSFQ) score, Kolcaba comfort questionnaire (GCQ) score, and incidence of postoperative adverse effects were collected and then compared between the two groups. Results Compared with the control group, the placement time and SSFQ score were significantly lower (P < 0.05), and the GCQ score were significantly increased in the observation group (P < 0.05); moreover, the incidence of postoperative adverse effects was significantly lower in the observation group compared with the control group (P < 0.05). Conclusion The side up hanging posture has achieved good performance in thoracoscopic lobectomy, which can not only effectively shorten the placement period, improve the operation quality of the surgical field, but also significantly reduce the incidence of adverse effects owing high clinical implementation value.
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