摘要
目的探讨"隧道"定向跟骨手术平台的应用价值。方法2016年3月—2017年12月的43例跟骨手术患者设为对照组,采用传统侧卧位跟骨手术;2018年1月—2019年12月的47例跟骨手术患者设为试验组,在"隧道"定向平台上行跟骨手术。比较2组患者一般资料及手术效果。结果2组患者一般资料比较,差异无统计学意义(P>0.05)。对照组患者术中出现患肢滑动、不稳定,试验组患者患肢稳定、无滑动;对照组器械从手术台面滑落多于试验组;对照组医护满意例数少于试验组;对照组手术时间长于试验组;2组上述差异均有统计学意义(P<0.05)。2组患者体位安置时间差异无统计学意义(P=0.774)。本研究另选取30名健康志愿者,体验传统侧卧位体位垫与跟骨手术平台的舒适性,志愿者认为跟骨手术平台感觉更舒适,差异有统计学意义(P<0.05)。结论"隧道"定向跟骨手术平台解决了患肢滑动、透视时患肢不稳定、器械滑落等问题,具有舒适性高的优点,极大提高了医护的满意度。
Objective To explore the application value of"tunnel"directed calcaneal surgery platform.Methods Totally 43 patients with calcaneal surgery from March 2016 to December 2017 were selected as control group,and they were treated with traditional lateral position for calcaneal surgery.Another 47 patients with calcaneal surgery from January 2018 to December 2019 were selected as experimental group,and they were treated with"tunnel"directed platform for calcaneal surgery.The general information and operation effect were compared between the two groups.Results There was no significant difference in general information between the two groups(P>0.05).The patients in the control group had sliding and instability of the affected limb during the operation,while the patients in the experimental group had stable limbs without sliding;the case with the instrument slipped off the operating table in the control group was more than that in the experimental group;the number of satisfied patients in the control group was less than that in the experimental group;the operation time in the control group was longer than that in the experimental group;there were significant differences in the above indexes between the two groups(P<0.05).There was no significant difference in body placement time between the two groups(P=0.774).In this study,another 30 healthy volunteers were selected to experience the comfort of the traditional lateral position pad and the calcaneal operation platform.The volunteers believed that the calcaneal operation platform was more comfortable(P<0.05).Conclusion The"tunnel"directed calcaneal surgery platform can solve the problems of limb sliding,unstable limb during fluoroscopy,instrument sliding and so on,and it has the advantage of high comfort,which can greatly improve the satisfaction degree of doctors and nurses.
作者
梅玲
谭潮
王嘉华
张转
潘俊博
王雪静
MEI Ling;TAN Chao;WANG Jiahua;ZHANG Zhuan;PAN Junbo;WANG Xuejing(Operation Room,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225000;Medical College of Yangzhou University,Yangzhou,Jiangsu,225000;Department of Anesthesiology,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225000;Center for Trauma,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225000)
出处
《实用临床医药杂志》
CAS
2021年第6期17-19,共3页
Journal of Clinical Medicine in Practice
基金
江苏省卫生健康委员会基金面上项目(H2018049)
扬州大学附属医院院级课题重点资助项目(YZYY2017-07)
关键词
跟骨手术
侧卧位
“隧道”定向手术平台
器械滑落
患肢滑动
calcaneal surgery
lateral position
"tunnel"directed surgical platform
sliding of instrument
sliding of affected limb
