摘要
目的探讨2种护理干预措施对老年截石位手术患者血压变化的影响。方法选取行截石位手术的94例老年患者作为观察对象,随机分为观察A组49例、观察B组45例,入选患者术后均采用单腿慢放法,观察A组实施下肢被动运动,观察B组给予医用弹力绷带,对比2组患者术后不同时间点血压变化情况。结果放平一侧下肢及放平双侧下肢时,2组收缩压差异显著(P<0.05);放平一侧下肢时,2组平均动脉压差异显著(P<0.05),放平双侧下肢时,2组平均动脉压差异更为显著(P<0.05)。结论对老年截石位手术患者采用下肢被动运动和医用弹力绷带这两种护理干预措施均能够减轻患者术后血压波动程度,降低体位改变性低血压发生的危险性,能够保障患者围术期安全性,值得临床推广应用。
Objective To investigate the effect of two different nursing interventions on the changes of blood pressure in senile patients with lithotomy position operation. Methods A total of 94 elderly patients with lithotomy position operation were randomly divided into observation A group with 49 eases and observation B group with 45 cases. All the patients applied slow motion of single leg, observation A group implemented passive movement of lower limb, and observation B group was given medical elastic bandage. The changes of postoperative blood pressure at different time points were compared in the two groups. Results A significant difference was found in systolic blood pressure in two groups when the one side of the lower extremities and bilateral lower limbs were lied flat （P 〈 0.05）. A significant difference was found in two groups in mean arterial pressure when one side of the lower extremities was put flat （P 〈 0.05）, and more significant difference was found in two groups in mean arterial pressure when bilateral lower extremities was put flat （P 〈 0.05）. Conclusion Lithotomy position for the elderly patients with different nursing interventions can reduce fluctuations of postoperative blood pressure, reduce the risk of low blood pressure cased by position change, and ensure security, so it is worthy of clinical popularization and application.
出处
《实用临床医药杂志》
CAS
2015年第12期81-83,共3页
Journal of Clinical Medicine in Practice
关键词
下肢被动运动
医用弹力绷带
老年
截石位手术
血压变化
passive movement of lower limb
medical elastic bandage
the dderly
lithotomy position operatio
blood pressure changes
