腹腔镜胆囊切除与开腹胆囊切除患者术后SIRS比较及护理  

Comparison of SIRS in patients with cholecystectomy under laparoscope and by open treatment and nursing care

作　　者：梅逸静[1] 石绍霞[1] 孙爱玲[1] 

机构地区：[1]山东中医药大学第二附属医院,山东济南250001

出　　处：《齐鲁护理杂志》2006年第03B期487-488,共2页Journal of Qilu Nursing

摘　　要：目的:探讨不同胆囊切除方式与术后全身炎症反应综合征(SIRS)的关系及护理方法。方法:将70例患者随机分为腔镜组和开腹组各35例,观察两组手术时间、麻醉时间、术中失血量和住院时间,分析不同手术方式与患者术后SIRS发生率的关系。结果:腔镜组术后SIRS发生率明显降低、持续时间亦显著缩短(P<0.05),且失血量少、住院时间短(P<0.01)。结论:腹腔镜胆囊切除术患者术后SIRS发生率低,手术创伤小,SIRS可以作为评价手术创伤程度的客观指标。Objective： To study the nursing care as well as the relation between the different methods in cholecystectomy and systemic inflammatory response syndrome. Methods ： 70 patients were divided into laparoscopic treatment group （ n = 35 ） and open treatment group （ n = 35 ）. The duration of operation, anesthesia, hospitalization and blood loss were observed so as to find the relation between the different methods in cholecystectomy and SIRS. Results： The occurrence of SIRS was markedly reduced and the remaining time of SIRS was shortened （ P 〈 0. 05 ）. The days of hospitalization and the amount of blood loss were shortened and decreased （P〈0. 01 ）. Conclusion： The incidence of SIRS in patients is few and wound is little after cholecystectomy under laparoscope. SIRS can be used as an objective index to evaluate the extent of operative wound.

关 键 词：胆囊切除术 全身炎症反应综合征 护理 

分 类 号：R473.6[医药卫生—护理学]