摘要
目的：探讨甲状腺手术患者个性化颈过伸体位对椎动脉血流动力学变化的影响。方法使用随机数字表将80例甲状腺手术患者分为试验组和对照组（n ＝40例），试验组采用个性化颈过伸位，对照组采用常规颈过伸位，检测两组患者 C4～5椎动脉血流动力学指标，并计算其变化量；统计两组甲状腺手术体位综合征的发生率。结果对照组双侧椎动脉血流速度比试验组减低，同时血流量下降，比较差异有统计学意义（P ＜0．05）；试验组术后甲状腺手术体位综合征的发生率与对照组比较明显降低，比较差异有统计学意义（P ＜0．01）。结论甲状腺手术过程中采用个性化颈过伸位可改善椎动脉血流动力学变化，能有效降低甲状腺手术体位综合征的发生率。
Objective To explore the influences of the individual cervical hyperextension position on the hemodynamics of vertebral artery in patients with thyroidectomy.Methods According to the random number table,80 participants were divided into the intervention group （n =40）and the control group （n =40）.The intervention group used individual cervical hyperextension position while the control group used conventional cervical hyperextension position.The hemodynamics changes of the bilateral vertebral artery for C4 -5 and the incidence rates for the posture symptom of thyroid surgery were compared between the two groups.Results Both the blood flow rates and volumes of the bilateral vertebral artery were lower in the control group compared with those in the intervention group （P 〈0.05）.The incidence rates for the posture symptom of thyroid surgery were significantly reduced in the intervention group （P 〈0.01 ）.Conclusions The individual cervical hyperextension position can effectively improve the hemodynamics of vertebral artery and reduce the incidence for the posture symptom of thyroid surgery.
出处
《中华现代护理杂志》
2016年第18期2602-2605,共4页
Chinese Journal of Modern Nursing
基金
基金项目：常熟市科技局基金资助项目（CS201418）专利项目：国家实用新型专利（ZL201520094904.5）
关键词
颈过伸体位
甲状腺手术
椎动脉
血流动力学
甲状腺手术体位综合征
Cervical hyperextension position
Thyroidectomy
Vertebral artery
Hemodynamics
Syndrome of postoperative nausea and vomiting
