妇科腹腔镜手术患者实施细节护理减少并发症效果分析.docVIP

妇科腹腔镜手术患者实施细节护理减少并发症效果分析 　　doi：10.3969/j.issn.1007-614x.2014.17.90 　　摘要目的：探究与分析妇科腹腔镜手术患者实施细节护理减少并发症的效果。方法：收治妇科行腹腔镜手术患者80例，回顾性分析其临床资料。结果：细节护理组的手术时间及清醒时间均较基础护理组缩短，而细节护理组尿量较基础护理组明显较少，具有统计学意义（P0.05）。细节护理组总不良反应发生率较基础护理组明显较少（37.50%），具有统计学意义（P0.05）。结论：行细节护理可有效降低妇科腹腔镜手术患者出现并发症的风险，具有一定的安全性，可缩短患者康复进程，减少住院费用，值得推广。 　　关键词妇科腹腔镜手术细节护理并发症 　　Analysis of the effect of detailed nursing reduce complications in patients with gynecologic laparoscopic operation 　　Liu Hongying 　　Department of Obstetrics，the Maternal and Child Health-Care Hospital of Yinan County，Shandong 276300 　　AbstractObjective：To research and analyze the effect of details care to reduce the complications of patients undergoing gynecological laparoscopic operation.Methods：80 cases with gynecological laparoscopic operation were selected，and we retrospectively analyzed their clinical datas.Results：The operation time and awake time of the detailed nursing group were lower than those of the basic nursing group，while the urine volume of the detailed nursing group less than the basic nursing care group. There was statistical significance（P0.05）.The total of adverse reactions occurrence rate of the detailed nursing group was significantly less than that of the basic nursing group（37.50%）.There was statistical significance（P0.05）.Conclusion：The detailed nursing can effectively reduce the risk of complications in patients undergoing gynecological laparoscopic operation.It has a certain degree of security and can shorten the progress of rehabilitation，and reduce the cost of hospitalization，so it is worthy of promotion. 　　Key wordsGynaecology；Laparoscopic operation；The detailed nursing；Complication 　　近年来，随着医学技术的不断发展，腹腔镜手术已逐渐应用于妇科疾病的诊断与治疗过程中[1]。所谓腹腔镜手术是指利用摄像系统，借助光源，配合器械操作的一类新型手术方式，具有创伤小、出血少、恢复快等特点，已被广大医疗工作人员及患者所接受及认可[2]。但在腹腔镜手术治疗期间，不仅要正确掌握手术步骤及注意事项，还需实施有效的护理方法，现报告如下。 　　资料与方法 　　2012年5月-2013年5月收治妇科行腹腔镜手术患者80例，按照时间就诊顺序分为两组，基础护理组40例，年龄21～45岁，平均（24.5±1.9）岁，其中宫颈癌5例，子宫腺肌病12例，宫外孕9例，子宫肌瘤23例，内膜癌11例，卵巢良性肿瘤8例，其他12例。细节护理组40例，年龄23～47