10例经阴道纯自然腔道内镜肾切除术的围手术期护理  

Perioperative nursing of 10 patients undergoing pure natural orifice translumenal endoscopic surgery transvaginal nephrectomy

作　　者：李莉莉[1] 蒙美英[1] 刘兰英[1] 曾小英[1] 王萍[1] 肖芳真[1] 阳贻梅[1] 黄郁兰[1] 张国玺[1] 邹晓峰[1] 

机构地区：[1]赣南医学院第一附属医院泌尿外科,赣州市341000

出　　处：《中华护理杂志》2013年第3期205-207,共3页Chinese Journal of Nursing

基　　金：国家高技术研发计划(863计划)项目(编号:2012AA021100);江西省"赣鄱英才555工程"领军人才培养计划项目;江西省科技厅重大科技支撑计划项目(编号:20121BBG70032);江西省卫生厅重大科技计划项目(编号:20104008)

摘　　要：对10例经阴道纯自然腔道内镜手术(NOTES)肾切除术进行了围手术期护理。护理要点为:①术前进行心理护理,使患者在最佳的心理状态下接受手术;②做好充分的术前准备,如肠道准备、阴道准备、皮肤准备等;③术后加强呼吸道管理,密切观察阴道出血情况,注意各引流管护理,防止腹胀或肠梗阻的发生;④加强术后舒适护理,保障患者良好恢复;做好出院宣教,加强术后随访。本组10例均痊愈出院。This paper summarizes the perioperative nursing of 10 patients undergoing pure natural orifice translumenal endo- scopic surgery（NOTES） transvaginal nephrectomy. The key points in nursing were preoperative psychological nursing; sufficient preoperative preparations, such as bowel preparation, vaginal preparation and skin preparation; close observation of vaginal bleeding,care of various drainage tubes, prevention of abdominal distension and intestinal obstruction, comfortable nursing, proper discharge education and follow-up services. All the patients were discharged.

关 键 词：围手术期护理 阴道 经自然腔道内镜手术 肾切除术 

分 类 号：R473.71[医药卫生—护理学]