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目的:探讨护理干预在甲状腺手术体位综合征发生率的关系,期望通过护理干预减少体位综合征的发生。方法:选取行常规甲状腺肿瘤切除术280例(均为无菌切口)随机分为两组,对照组140例,采用常规护理方法。观察组140例,实施常规护理的基础上对患者进行心理护理、体位训练、术中变化体位等护理措施,观察两组患者甲状腺手术体位综合征的发生情况并进行评价。结果:观察组患者术后出现头痛头晕、恶心呕吐、腰背部肌肉酸痛发生率显著低于对照组(P<0.05)。结论:加强术前体位训练、心理护理、并通过术中变化体位缩短术中颈部过伸时间等护理干预,可以降低甲状腺手术体位综合征的发生率。
Objective: To investigate the relationship between nursing intervention and the incidence of postural syndrome in thyroid surgery, expecting to reduce the occurrence of postural syndrome through nursing intervention. Methods: A total of 280 cases of conventional thyroidectomy (all sterile incision) were randomly divided into two groups, the control group of 140 cases, using routine nursing methods. Observation group of 140 cases, the implementation of routine care based on the patient’s psychological care, physical training, postoperative changes in position and other nursing measures, the two groups of patients with thyroid surgery posture syndrome were observed and evaluated. Results: The headache, dizziness, nausea and vomiting in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: To strengthen preoperative posture training and psychological nursing, and to reduce the postoperative neck extension time and other nursing interventions through intraoperative changes can reduce the incidence of thyroid surgery posture syndrome.