76例腹腔镜阑尾切除手术的护理体会.docVIP

精品论文 参考文献 76例腹腔镜阑尾切除手术的护理体会 施美满（福建省晋江市医院 362200） 　　【摘要】目的：探讨腹腔镜阑尾切除手术的护理体会。方法：选取我科收治的阑尾手术的患者76例进行分析研究，随机将其分为对照组与观察组，对照组患者实施常规的护理措施，观察组患者实施有效的整体护理干预措施，比较两组患者的术后并发症以及患者满意度。结果：观察组患者实施有效的整体护理干预措施后患者术后并发症的发生率明显低于对照组，而患者满意度明显优于对照组，经比较具有显著差异（P＜0.05）。结论：对于腹腔镜阑尾切除手术患者实施整体护理干预措施能够明显的提高临床治疗效果，减少术后并发症的发生，并且提高患者满意度。 　　【关键词】腹腔镜 阑尾 护理干预 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】1672-5085（2014）26-0077-02 　　【Abstract】 To explore the nursing experience of laparoscopic appendectomyoperation. Methods: 76 cases of patients were chosen in our hospital from appendixoperation were analyzed, and were randomly divided into control group andobservation group, the control group with routine nursing measures, to observe the implementation of the overall effective intervention group patients, compared two groups of patients with postoperative complications and patient satisfaction. Results: the implementation of the overall effective intervention group patients the incidence of postoperative complications was significantly lower than the control group, and the patients satisfaction was significantly better than the control group, by comparison with significant difference (P lt; 0.05). Conclusion: the laparoscopic appendectomy operation in patients with the implementation of holistic nursing intervention can significantly improve the clinical treatment effect, reduce the postoperative complications, and improve the satisfaction of patients. 　　【Key words】 laparoscopic appendectomy nursing intervention 　　阑尾为盲肠后内侧的蚓状盲管，属淋巴免疫器官[1]。阑尾炎是由多种自身肠菌所致的阑尾化脓性感染。急性阑尾炎属于最常见的急腹症，好发于青壮年。近年来，随着腹腔镜在普外科手术中的应用，腹腔镜阑尾切除术已成为临??治疗急、慢性阑尾炎的首选手术方式。笔者现将76例腹腔镜阑尾切除手术的护理体会汇报如下。 　　1 资料和方法 　　1.1一般资料：选取我科收治的阑尾手术的患者76例进行分析讨论，其中男性患者42例，女性患者34例，年龄在21～67岁，平均年龄为34.29plusmn;5.39岁。随机将其分为两组，一组患者实施常规护理措施为对照组，另一组患者实施有效的整体护理干预措施为观察组，两组患者的年龄、性别、一般情况进行比较无显著差异（P＞0.05），具有临床可比性。 　　1.2方法：对照组患者实施常规护理措施，观察组患者实施针对要点的护理干预措施具体如下： 　　1.2.1一般护理：术后患者安返病发，给予患者平卧位6小时，头偏向一侧防止呕吐物误吸，保持呼吸道通畅，低流量吸氧。由于患者属于急诊手术，术前肠道未