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目的探讨改良半截石卧位在股骨转子间骨折手术中的应用效果。方法将60例股骨转子间骨折患者随机分为观察组和对照组各30例,对照组采用牵引床摆放患侧下肢伸直中立位实施手术,观察组采用普通电动手术床改良半截石卧位进行手术。比较两组体位摆放时间、手术时间、患者术中皮肤受压情况,了解观察组手术医生对手术体位的评价。结果观察组手术体位摆放时间及手术时间显著短于对照组,受压部位皮肤压红发生率显著低于对照组(均P<0.01);观察组医生均表示改良半截石卧位方便、满意。结论改良半截石卧位可提高手术效率,保护患者皮肤,令手术医生满意。
Objective To explore the application of modified half-stone lying position in the treatment of intertrochanteric fractures. Methods Sixty patients with femoral intertrochanteric fractures were randomly divided into observation group and control group, 30 cases in each group. The control group was placed on the traction bed with the orthopedic lower limbs orthopedic. The patients in the observation group were treated with common electric operating table to improve the semi- Surgery. The position of the two groups were compared, the time of operation, the pressure of the skin during operation in the two groups and the evaluation of the operation position of the surgeon in the observation group. Results The operation position and operation time of the observation group were significantly shorter than those of the control group, and the incidence of skin reddening in the compression area was significantly lower than that of the control group (all P <0.01). The observation group doctors showed that the modified lithotomy position was convenient and satisfied . Conclusion Improved semi-decubitus position can improve the surgical efficiency, protect the skin of patients, so that the surgeon satisfied.