89例腹腔镜下胆囊切除术后护理体会.docVIP

89例腹腔镜下胆囊切除术后护理体会 　　摘要：目的探讨腹腔镜下胆囊切除术后的护理技巧，为今后临床护理提供参考和借鉴。方法 本研究随机选取我院2013年1月2013年6月期间行腹腔镜下胆囊切除术患者89例，采用随机数字法将其分为对照组和观察组，对照组给予术后常规护理，观察组则在对照组基础之上给予饮食护理、引流管护理、并发症护理，对比分析两组患者的护理效果及护理满意度。结果 观察组的并发症率为10.20%明显少于对照组的40.00%（χ2=24.0000，P=0.0000）； 观察组的护理满意度为95.92%明显高于对照组的65.00%（χ2=30.6100，P=0.0000）。结论给予腹腔镜下胆囊切除术患者饮食护理、引流管护理、并发症护理等全面术后护理，能有效地减少并发症的发生，提高护理满意度，促进医患和谐，护理效果显著，值得在临床实践中广泛的应用和推广。 　　关键词：腹腔镜；胆囊切除术；术后护理 　　Nursing experience of 89 cases of laparoscopic cholecystectomy 　　Abstract： Objective: To investigate the nursing skills after laparoscopic cholecystectomy, in order to provide reference for future clinical nursing. Methods: This study randomly selected in our hospital in 2013 January ~2013 year in June during laparoscopic cholecystectomy in patients with 89 cases, were randomly divided into control group and observation group, the control group was given conventional nursing, the observation group in the control group based on the diet nursing, nursing of drainage tube, complications nursing, to compare and analyze the nursing effect and nursing satisfaction of two groups of patients. Results: in the observation group, the complication rate of 10.20% was less than that of the control group (χ 40% 2=24.0000, P=0.0000); nursing satisfaction of observation group was 95.92% higher than the control group obviously (χ 2=30.6100, P=0.0000) 65%. Conclusion: laparoscopic cholecystectomy patients diet nursing, nursing of drainage tube, complication nursing comprehensive postoperative nursing, can effectively reduce the complications, improve nursing satisfaction, promote the harmonious relationship between doctor and patient, nursing effect is significant, worthy of wide application and spreading in clinical practic 　　keyword：laparoscopic; cholecystectomy; postoperative nursing 　　腹腔镜胆囊切除术凭其疼痛轻、创伤小、术后恢复快、遗留瘢痕小等优势，成为了微创外科十分常见的术式之一[1]。胆囊息肉、胆囊结石、慢性胆囊炎患者在未伴有禁忌症的状况下，均可进行该术式，而给予腹腔镜下胆囊切除术患者正确的术后护理也相当之重要[2]。为此，我院2013年1月~2013年6月期间，给予89例行腹腔镜下胆囊切除术患者不同的术后护理服务，护理效果差异显著，现将其报道如下。