肝癌术后未放置腹腔引流管的护理应用效果  

Nursing effect of liver cancer patients without placing peritoneal drainage tube in postoperation

作　　者：高俊芳 殷蓉[1] GAO Junfang YIN Rong(Department of Hepatic Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing , Jiangsu, 210029)

机构地区：[1]南京医科大学第一附属医院肝脏外科,江苏南京210029

出　　处：《实用临床医药杂志》2017年第8期86-88,92,共4页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金(81273262)

摘　　要：目的探讨肝癌术后未放置腹腔引流管的护理应用效果。方法选取本院肝癌患者共1200例,随机分为未放置腹腔引流管的观察组和放置腹腔引流管的对照组,比较2组患者在护理中的相同点与不同点,观察2组患者术后排气时间、排便时间、住院时间和切口愈合时间;同时观察2组患者术后并发症的情况,如腹腔内出血、腹胀、腹腔感染和切口感染。结果与对照组相比,观察组患者术后较早排气排便(P<0.05),患者住院时间及切口愈合时间显著缩短(P<0.05);2组患者术后腹腔内出血发生率无显著差异(P>0.05),观察组患者术后腹胀、腹腔感染及切口感染发生率分别为3.1%、2.7%及2.3%,较对照组发生率显著下降(P<0.05)。结论肝癌术后未放置腹腔引流管,对患者快速康复具有积极的作用,在一定程度上可以减轻患者的痛苦,同时也对护理工作提出了更高的要求。Objective To explore nursing effect of liver cancer patients without placing peritoneal drainage tube in postoperation. Methods A total of 1200 liver cancer cases were randomly divided into no placing peritoneal drainage tube group and placing peritoneal drainage tube group. Similarities and differences of nursing were compared. Postoperative exhaust time, defecation time, hospitalization and incision healing, postoperative complications including intraperitoneal bleeding, abdominal distention, intraabdominal infection and incision infection were observed. Results Compared with control group, postoperative exhaust and defecation time were earlier, hospitalization and incision healing time were significantly shorter in observation group （ P 〈 0.05 ）. Rate of intraperitoneal bleeding in both groups showed no significant difference （ P 〉 0.05 ）. Rate of abdominal distention, intraabdominal infection and incision infection were respectively 3.1% , 2.7% and 2.3% in observation group, which was significantly lower compared with control group （ P 〈 0.05 ）. Conclusion Postoperative liver cancer without placing peritoneal drainage tube can promote rehabilitation and relieves the pain of patients.

关 键 词：肝癌 腹腔引流管 并发症 术后护理 

分 类 号：R473.6[医药卫生—护理学]