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目的探讨综合护理配合术前体位训练对甲状腺术后体位综合征的预防效果。方法 290例甲状腺手术患者,随机分为治疗组(150例)与参照组(140例)。治疗组患者进行综合护理配合术前体位训练,一直训练到患者可以坚持手术需要的时间,参照组患者在手术前不进行体位训练。观察两组患者在手术中体位的舒适度和耐受力的情况,对患者在手术后48 h内的头痛、恶心及呕吐的情况进行记录分析。结果护理后,治疗组患者的恶心与呕吐程度0、Ⅰ度120例(80.00%)、Ⅱ、Ⅲ、Ⅳ度30例(20.00%),与参照组的88例(62.86%)、52例(37.14%)比较,差异均具有统计学意义(P<0.05);治疗组患者的头疼程度Ⅰ度125例(83.33%)、Ⅱ、Ⅲ、Ⅳ度25例(16.67%),与参照组的75例(53.57%)、55例(39.29%)比较,差异均具有统计学意义(P<0.05)。结论甲状腺手术前对患者进行综合护理配合体位训练可以有效预防甲状腺术后体位综合征的发生。
Objective To investigate the preventive effect of comprehensive nursing combined with preoperative position training on postoperative thyroid postural syndrome. Methods 290 patients with thyroid surgery were randomly divided into treatment group (150 cases) and control group (140 cases). The patients in the treatment group received comprehensive nursing with preoperative position training and were trained until the patients could insist on the required operation time. The reference group patients did not perform postural training before the operation. The comfort and endurance of the two groups during operation were observed. The patients were recorded for headache, nausea and vomiting within 48 hours after operation. Results After treatment, the degree of nausea and vomiting in the treatment group were 0, 120 (80.00%) in grade I, 30 (20.00%) in grade II, III and IV, 88 (62.86%) in reference group and 52 37.14%), the differences were statistically significant (P <0.05). The degree of headache in treatment group was 125 cases (83.33%), 25 cases (16.67%) were grade II, Cases (53.57%), 55 cases (39.29%), the differences were statistically significant (P <0.05). Conclusion Comprehensive thyroid surgery patients with preoperative thyroid position training can be effective in preventing postoperative thyroid postoperative syndrome.