腹腔镜与传统开腹手术患者围术期护理效果的比较  

Comparison of Perioperative Nursing with of Patients Laparoscopy-assisted and Open surgery

作　　者：陈丹丹[1] 吴修慧[1] 舒美玲[1] 周荣[1] 邓亚琴[1] 

机构地区：[1]湖北省荆门市第一人民医院普外三科,荆门448000

出　　处：《中国医药导刊》2011年第7期1266-1267,1269,共3页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨腹腔镜胆道探查取石术与传统开腹手术治疗胆总管结石的可行性、优越性及护理方法。方法:将我院2010年6月～12月收治的50例胆管结石患者随机分为观察组和对照组,每组25例,观察组采用腹腔镜胆道探查取石术治疗,对照组采用传统开腹手术治疗,比较两组患者的手术操作时间、术中出血量、术后胃肠功能恢复时间、住院时间、术后并发症及疼痛情况。结果:观察组在术中出血量、术后胃肠功能恢复时间、住院时间、术后并发症、术后疼痛情况方面均显著优于对照组,P<0.01。两组手术时间差异无显著意义,P>0.05。结论:腹腔镜胆道探查取石术是安全可行的,其创伤小、痛苦少、恢复快,围术期护理的关键在于心理护理、病情观察和健康指导。Objective：To explore the feasibihty, superiority and nursing features of the laparoscopic common bile duet explorationand open surgery, Methods：50 patients who were diagnosed as choledochol ithiasis in our department from march 2010,to septermber 2010 were divided into the two groups：the observed group（25 cases）and the control group（25 cases）.the observed group used laparoscopy-assisted surgery, and the control group used traditional operation.The two groups were compared operative time.blood loss,postoperative recovery time of gastrointestinal function,hospital stay, postoperative complications and pain, Results：The observed group＇s blood loss,postoperative recovery time of gastrointestinal function,hoSpital stay, postoperative complications,postoperative pain was sigrtificantly better than the situation in the control group,P〈0.01.The operation time in the two groups was no significant difference.P〉0.05. Conclusion：Compare with open surgery, laparoscopy-assisted radical gastrectomy has the advantages of minimally invasive and quick post- operative recovery.The key points of its perioperative nursing care were psychological support：observation on patient＇ s conditions after surgery, health teaching and diet instruction.

关 键 词：腹腔镜 开腹 胆管结石 围术期 护理 

分 类 号：R473.6[医药卫生—护理学]