腹腔镜下胆囊切除术的手术配合护理分析.docVIP

精品论文 参考文献 腹腔镜下胆囊切除术的手术配合护理分析 江苏省泰兴市第三人民医院 江苏泰兴 225400 【摘要】 目的 探讨腹腔镜下行胆囊切除术的手术配合的护理方法，观察其护理的疗效。方法 选择泰兴市第三人民医院拟行腹腔镜下胆囊切除术的60例胆结石患者，随机分成观察组和对照组两组，每组30例。观察组实施手术配合护理措施，对照组仅在手术中实施常规护理。观察两组患者的术中出血量、手术时间、胃肠功能恢复时间、住院时间及术后疼痛、恶心呕吐、伤口感染并发症的发生率。结果 观察组患者术中出血量明显少于对照组，手术时间、住院时间及胃肠功能恢复时间均短于对照组；观察组患者并发症总发生率明显低于对照组的总发生率，差异均有统计学意义（Plt;0.05）。结论 在腹腔镜胆囊切除术采用手术配合的护理方法，具有手术出血量小、手术时间短、住院时间短、胃肠功能恢复快、并发症发生率低等优点，值得推广使用。 【关键词】　腹腔镜；胆囊切除术；护理；手术配合 【Abstract 】 Objective To discuss the nursing method of the operation cooperation of laparoscopic cholecystectomy，To observe the curative effect of nursing.Methods Choose 60 peoples Hospital of Taixing City，third cases of patients with gallstones，randomly divided into observation group and control group，two cases in each group.Observation group to implement the operation with nursing measures，the control group only in the implementation of routine nursing care. To observe the bleeding volume，operation time，recovery time，hospitalization time，postoperative pain，nausea and vomiting，the incidence of complications of postoperative pain，nausea and vomiting and wound infection in the two groups.Results The amount of bleeding in the observation group was significantly less than that of the control group，the operation time，hospitalization time and the recovery time of gastrointestinal function were shorter than that of the control group. The total incidence of complications in observation group was significantly lower than that in the control group，the difference was statistically significant（Plt;0.05）.Conclusion The nursing method of laparoscopic cholecystectomy，with a small amount of bleeding，short operation time，short hospitalization time，rapid recovery of gastrointestinal function，low complication rate，is worth promoting. 【Key words 】Laparoscope；Resection of gallbladder；Nursing；Operative cooperation 【中图分类号】R47【文献标识码】A【文章编号】2096-0867（2016）-12-035-02 微创技术的不断发展，腹腔镜下胆囊切除术也越来越收到广大医务人员和患者的认可。目前的临床研究显示[1]：腹腔镜下行胆囊切除术的手术配合及护理可以提高患者的生活质量。泰兴市第三人民医院手术