Effect analysis of position management before and during operation in patients with humerus fracture
肱骨骨折患者术前与术中体位管理效果分析

摘要

目的 本研究旨在分析肱骨骨折患者在手术前和手术中体位管理的效果。方法 研究选取了2020年6月至2022年5月期间在本院接受切开复位内固定手术的30名肱骨骨折患者作为研究对象。在手术前，通过指导患者使用“环抱协助法”在体位变更和活动过程中减轻疼痛；手术中则采用沙滩椅体位，进行45°的体位摆放以优化操作流程。结果 手术前，患者的疼痛程度中，轻度疼痛的比例为66.7%，中度疼痛为30.0%，重度疼痛为3.3%。手术中体位摆放的平均时间为2.8±0.5分钟，而移动透视机进行影像采集的平均次数为3.2±1.4次。手术后，未观察到患者出现切口感染的情况。结论 术前体位管理可减轻肱骨骨折患者疼痛；术中改良体位可降低护理工作量与难度，减少术后感染。

Abstract

Objective The aim of this study was to analyze the effects of position management in patients with humeral fractures before and during surgery.
Methods Thirty patients with humeral fracture who underwent open reduction and internal fixation in our hospital between June 2020 and May 2022 were selected as the study subjects. Before surgery, the patient is instructed to use the "encircling assistance method" to reduce pain during postural changes and movements; During the operation, the beach chair position was used, and the position was placed at 45° to optimize the procedure.
Results Before surgery, 66.7% of patients had mild pain, 30.0% moderate pain and 3.3% severe pain. The average time of position placement during surgery was 2.8±0.5 minutes, and the average number of image acquisition by the mobile fluoroscope was 3.2±1.4 times. No incisional infection was observed after surgery.
Conclusion   Preoperative position management can relieve pain in patients with humeral fracture. Improved position during operation can reduce the workload and difficulty of nursing and reduce postoperative infection.