腹腔镜技术与开腹手术阑尾切除的护理比较  

The comparative study of the laparoscopic appendectomy and open appendectomy

作　　者：王焕云[1] 曹燕[1] 

机构地区：[1]泰山医学院附属医院普外科,山东泰安271000

出　　处：《泰山医学院学报》2010年第3期207-209,共3页Journal of Taishan Medical College

摘　　要：目的探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)与开腹阑尾切除术(open appendectomy,OA)两种术式的可行性、优越性及护理特点。方法选取2007年1月至2009年11月临床确诊的阑尾炎患者127例,分为腹腔镜手术和开腹手术2组,对比分析两组的围手术期护理资料。结果两组手术时间、治疗费用差异无统计学意义,但腹腔镜手术组术中出血量、术后肛门排气时间、住院时间、镇痛程度、切口感染率、粘连性肠梗阻发生率明显低于开腹手术组(P<0.05)。结论腹腔镜下阑尾切除术创伤小、恢复快、并发症少,美容效果好,护理相对简单,节省人力,优于开腹手术。Objective： To explore the feasibility,superiority and nursing features of the laparoscopic appendectomy（LA） and open appendectomy（OA）.Methods： 127 patients who were diagnosed as appendicitis were divided into the two groups：the LA group（55 cases） and the traditional opertion（OA） group（72 cases）.The perioperativ nursing data of two groups were compared and analyzed.Results： There was no significant difference in two groups＇operation time and costs of hospitalization.However,there was statistical significance in the difference between LA and OA in the amount of bleeding,degree of postoperative pain,anal exhaust,out of bed activity and hospitalization,infection of incision,adhesion ileus and so on（P0.05）.Conclusion： The LA is a new procedure to treat appendicitis,which is safe,economic,feasible and has little wound and better cosmetic effect.The nursing care is relatively simple,manpower saving and suitable for hospitals.

关 键 词：阑尾炎 腹腔镜 外科手术 

分 类 号：R473.6[医药卫生—护理学]