上海护理2016，Vol.16Issue(2)：5-8,4.
体位调节对预防俯卧位椎动脉内径变窄的效果
Effect of position adjustment on prevention of narrowing of vertebral artery inner diameter in prone position
庄敏 1林萍 1虞瑾华 1朱振中1
作者信息
- 1. 上海交通大学附属第六人民医院，上海 200233
- 折叠
摘要
Abstract
Objective To study the effect of position adjustment on prevention of narrowing of vertebral artery inner diameter(VAID)in prone position,as well as its value in promoting comfort degree of patients. Methods From July 2013 to July 2014,a total of 60 healthy volunteers were recruited and randomly divided into two groups. The bilateral VAIDs of all volunteers in supine position were measured by ultrasound and used as normal reference values. The volunteers in the experimental group took prone position and adjusted position to keep their bilateral VAIDs as close as possible to the normal reference values. The difference in VAIDs between supine position and prone position was recorded as △Dexperimental. The bilateral VAIDs of the volunteers in the control group were measured in prone position without any position adjustment,and the difference in VAIDs between supine position and prone position was recorded as △Dcontrol. After maintaining the prone position for 2 h,Visual Analogue Scale( VAS)and Dizziness Handicap Inventory( DHI)scale were used to evaluate degree of headache and dizziness. Results After position adjustment in proper position,there was no significant difference in bilateral VAIDs between supine position and prone position in the experimental group (P = 0. 67). △Dexperimental was(0. 08 ± 0. 03)mm. There were significant differences in bilateral VAIDs between supine position and prone position in the control group(P < 0. 01). △Dcontrol was(0. 91 ± 0. 18)mm. The comfort degree in the experimental group was significantly higher than that in the control group(P <0. 05). Conclusion Position adjustment could effectively prevent the narrowing of VAID in prone position, decrease postoperative headache and dizziness, and improve the comfort degree of patients.关键词
手术体位/体位调节/俯卧位/椎动脉内径/B 超/患者舒适度/疼痛/眩晕Key words
Operative position/Position adjustment/Prone position/Vertebral artery inner diameter/B ultrasound/Comfort degree of patient/Pain/Dizziness分类
医药卫生引用本文复制引用
庄敏,林萍,虞瑾华,朱振中..体位调节对预防俯卧位椎动脉内径变窄的效果[J].上海护理,2016,16(2):5-8,4.
