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目的甲状腺术前体位训练预防术后体位综合症的护理效果。方法 400例甲状腺手术患者,随机分成未经术前体位训练组和经术前体位训练组,各200例。对比两组治疗效果。结果经术前体位训练组及未经术前体位训练组发生体位综合症的比例分别为66%(132/200),93%(186/200),比较差异有统计学意义(P<0.05)。针对术后发生体位综合症的318例患者,遵医嘱给予甲氧氯普胺静脉推注后,208例患者恶心呕吐症状有所缓解。110例患者给予托烷司琼针静脉点滴后症状逐渐缓解,至术后2~3 d症状完全消除。结论术前指导患者进行体位训练能有效减少术中不适感和术后的恶心、呕吐、眩晕的发生,有利于患者康复出院。
Objective To evaluate the nursing effect of postoperative thyroid gland preoperative position training to prevent postoperative postural syndrome. Methods 400 cases of thyroid surgery patients were randomly divided into preoperative position training group and preoperative position training group, 200 cases each. Compare the two groups treatment effect. Results The proportion of postural complications occurred in preoperative position training group and preoperative position training group was 66% (132/200) and 93% (186/200) respectively, with significant difference (P <0.05) . 318 postoperative patients with postural syndrome, nike free run, given a prescribed intravenous injection of metoclopramide, 208 patients with nausea and vomiting eased. 110 patients were given tropisetron qing venous drip gradually relieved symptoms, 2 to 3 days after the symptoms completely eliminated. Conclusion Preoperative guidance of patients for postural training can effectively reduce intraoperative discomfort and postoperative nausea, vomiting, dizziness, is conducive to patients discharged from hospital.