用于脊柱固定的长脊柱板与真空床垫的比较。
Comparison of a long spinal board and vacuum mattress for spinal immobilisation.
作者信息
Luscombe M D, Williams J L
机构信息
Department of Anaesthesia, Royal Hallamshire Hospital, Sheffield, UK.
出版信息
Emerg Med J. 2003 Sep;20(5):476-8. doi: 10.1136/emj.20.5.476.
OBJECTIVES
This study was designed to compare the stability and comfort afforded by the long spinal board (backboard) and the vacuum mattress.
METHODS
Nine volunteers wearing standardised clothing and rigid neck collars were secured on to a backboard and vacuum mattress using a standard strapping arrangement. An operating department table was used to tilt the volunteers from 45 degrees head up to 45 degrees head down, and additionally 45 degrees laterally. Movements of the head, sternum, and pubic symphysis (pelvis) from a fixed position were then recorded. The comfort level during the procedure was assessed using a 10 point numerical rating scale (NRS) where 1=no pain and 10=worst pain imaginable.
RESULTS
The mean body movements in the head up position (23.3 v 6.66 mm), head down (40.89 v 8.33mm), and lateral tilt (18.33 v 4.26mm) were significantly greater on the backboard than on the vacuum mattress (p<0.01 for all planes of movement). Using the NRS the vacuum mattress (mean score=1.88) was significantly more comfortable than the backboard (mean score=5.22) (p<0.01).
CONCLUSIONS
In the measured planes the vacuum mattress provides significantly superior stability and comfort than a backboard.
目的
本研究旨在比较长脊柱板（背板）和真空床垫的稳定性及舒适性。
方法
九名穿着标准化服装并佩戴硬质颈托的志愿者，通过标准捆绑方式固定在背板和真空床垫上。使用手术台将志愿者从头部抬高45度倾斜至头部向下45度，另外再向侧面倾斜45度。然后记录头部、胸骨和耻骨联合（骨盆）相对于固定位置的移动情况。使用10分数字评分量表（NRS）评估该过程中的舒适度，其中1分表示无疼痛，10分表示可想象到的最严重疼痛。
结果
在头部抬高位置（23.3对6.66毫米）、头部向下位置（40.89对8.33毫米）和侧向倾斜（18.33对4.26毫米）时，背板上的平均身体移动明显大于真空床垫（所有运动平面p<0.01）。使用NRS评分，真空床垫（平均得分=1.88）比背板（平均得分=5.22）明显更舒适（p<0.01）。
结论
在测量平面上，真空床垫比背板具有明显更好的稳定性和舒适性。
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