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目的:探讨妇科腹腔镜手术中采用不同体位对患者的影响。方法:选取2013年6月至2015年6月该院妇科行腹腔镜手术的96例患者,随机分为对照组与观察组各48例,对照组术中行截石位,观察组术中取平卧位,分别比较两组患者体位安置前后的循环功能表现以及手术过程中舒适程度。结果:观察组患者在体位安置后的心率为(78.4±13.3)次/min,舒张压为(76.9±9.4)mmHg,收缩压为(132.6±11.6)mmHg,临床舒适度中Ⅰ级34例(70.8%),Ⅱ级8例(16.7%),Ⅲ级5例(10.4%),Ⅳ级1例(2.1%),显著好于对照组(P<0.05)。结论:妇科腹腔镜手术中采用平卧位体位能够积极维持患者循环功能稳定,并有效提高临床舒适程度。
Objective: To investigate the effect of different position on gynecological laparoscopic surgery patients. Methods: A total of 96 patients with gynecological laparoscopic surgery from June 2013 to June 2015 were randomly divided into control group and observation group, with 48 cases in each group. In the control group, lithotomy position was performed during operation, In the supine position, the circulatory function before and after the position of the two groups were compared, respectively, and the degree of comfort during the operation. Results: The heart rate of the observation group after placement was (78.4 ± 13.3) / min, the diastolic pressure was (76.9 ± 9.4) mmHg, the systolic pressure was (132.6 ± 11.6) mmHg, and the clinical comfort level was 34 70.8%), grade Ⅱ in 8 cases (16.7%), grade Ⅲ in 5 cases (10.4%) and grade Ⅳ in 1 case (2.1%), which were significantly better than those in control group (P <0.05). Conclusions: The use of supine position in gynecologic laparoscopic surgery can actively maintain stable circulatory function and improve clinical comfort.