| ObjectiveTo explore the influence of two different nursing interventions on blood pressure of elderly patients undergoing lithotomy position surgery. And to compare the effectiveness of two methods to prevent hypothension when position change.Method90 cases of gerontal patient treated by transurethral resection of prostate(TURP) from February 2009 to September in the fist hospital of China Medical University were randomly divided into the observation group 1, observation group 2, and control group with 30 patients in each. After surgery all patients were using one leg slow-release. In which observation group 1 implementation of the lower limb passive movement, observation group 2 applied medical elastic bandage, and the control group with no intervention. The blood pressure and heart rate of all patients at different time points were recorded. The time points including before flat lower extremities(lithotomy postion), flat side of the lower extremities immediately, flat lower extremities immediately, flat lower limbs 1,3,5min.ResultsPassive motion group and the elastic bandage group blood pressure remained stable. The systolic blood pressure(SBP), mean arterial pressure(MAP) with no significant change before and after the postural change (P>0.05).The blood pressure decreased significantly in control group compared with the before postural change level and passive motion group and the elastic bandage group (P<0.01或P<0.05); three groups of patients increased heart rate fast (P<0.01或P<0.05)ConclusionImplementation of the lower limb passive movement and medical elastic bandage can help to maintain the blood pressure in a normal level in elderly patients during lithotomy position surgery. Thus can prevent orthostatic hypotension and ensure the safety of patients in the perioperative period with a certain degree of practical significance.
|
PDF Full Text Request