143例腹腔镜胆囊切除术不同气腹压力对术后肩痛的影响及护理  

INFLUENCE OF DIFFERENT PNEUMOPERITONEUM ON THE POSTOPERATIVE SHOULDER PAIN AMONG PATIENTS WITH LAPAROSCOPIC CHOLECYSTECTOMY AND ITS NURSING (143 CASES)

作　　者：陈尖[1] 刘秀华[2] 

机构地区：[1]四川省资阳市乐至县人民医院,乐至641500 [2]四川大学华西第四医院

出　　处：《现代预防医学》2009年第8期1591-1591,1593,共2页Modern Preventive Medicine

摘　　要：[目的]探讨腹腔镜胆囊切除术不同气腹压力对术后患者肩痛的影响及采取相应护理措施。[方法]回顾分析腹腔镜胆囊切除术后发生肩痛的病例资料,将对采取降低气腹压力、术后延长吸氧时间等措施者为观察组,行传统方法者为对照组,观察两组肩痛发生情况及程度。[结果]两组患者术后肩痛发生率比较,观察组为34.2%,对照组为50.7%。[结论]合理调节气腹压力,术后延长吸氧时间等措施,能有效预防及减轻腹腔镜胆囊切除术患者的肩痛。[Objective] To explore the impact of laparoscopic cholecystectomy （LC） different pneumoperitoneum pressure on post-operative patients with shoulder pain and appropriate nursing measures. [Methods] Information of patients with shoulder pain after accepting LC were retraced and analyzed. Patients who accepted reducing the abdominal gas’s pressure and extending the time of breathing oxygen served as observation group, and those who treated according to the traditional methods were used as control group. The degree and situation of shoulder pain in the two groups were observed. [Results] When comparing the incidences of two groups, the incidences of observation group and control group were 34.2% and 50.7%, respectively. [Conclusion] The measures of adjusting the abdominal pressure and extending the time of breathing oxygen reasonably can effectively reduce the patients’ shoulder pain who received LC.

关 键 词：腹腔镜胆囊切除术 人工气腹 肩痛 相应护理 

分 类 号：R575.6[医药卫生—消化系统]