经脐单孔腹腔镜手术联合耻骨上辅助的护理配合要点研究  

Study on the nursing cooperation points of transumbilical single port laparoscopic surgery combined with suprapubic assist

作　　者：李珍[1] 彭凤裘[1] 杨琼[1] 刘芳[1] 陈敏[1] 刘媛[1] 张国玺[2] 邹晓峰[2] LI Zhen;PENG Fengqiu;YANG Qiong;LIU Fang;CHEN Min;LIU Yuan;ZHANG Guoxi;ZOU Xiaofeng(Department of Operating Room,the First Affiliated Hospital of Gannan Medical College,Ganzhou,Jiangxi 341000,China;Department of Urology,the First Affiliated Hospital of Gannan Medical College/Institute of Urology,Gannan Medical College,Ganzhou,Jiangxi 341000,China)

机构地区：[1]赣南医学院第一附属医院手术室,江西赣州341000 [2]赣南医学院第一附属医院泌尿外科/赣南医学院泌尿外科研究所,江西赣州341000

出　　处：《重庆医学》2020年第2期201-204,共4页Chongqing medicine

基　　金：国家高技术研发计划（863计划）项目（2012AA021100）;江西省“赣鄱英才555工程”领军人才培养计划项目（赣才字[2012]1号）;江西省科技厅重大科技支撑计划项目（20121BBG70032）;江西省卫生厅重大科技计划项目（20104008）;江西省教育厅科技落地计划项目（KJLD12044）

摘　　要：目的探讨耻骨上辅助经脐单孔腹腔镜手术(SA-LESS)的护理配合要点。方法将262例施行SA-LESS的泌尿系疾病患者分为对照组和观察组,对照组进行常规的手术护理,观察组患者进行个体化的护理,比较分析两组患者平均手术时间、术后肛门排气时间、住院时间等临床指标及两组患者术后并发症发生情况,并总结术中护理配合方法和经验,规范腹腔镜手术护理配合的护理流程,加强细节管理,突出重点工作环节。结果观察组患者均顺利完成手术,且平均手术用时、术后肛门排气时间、住院时间及并发症发生率均较对照组有明显改善(P<0.05)。结论完善的手术室护理配合方案及护士娴熟的配合技术是SA-LESS手术顺利完成的有力保证。Objective To explore the main points of nursing cooperation for suprapubic assisted single port laparoscopic surgery(SA-LESS).Methods A total of 262 patients with urinary tract disease who underwent SA-LESS were divided into the control group and the observation group.The control group underwent common surgical nursing,and the observation group underwent individual nursing.The average operation time and postoperative anus of the two groups were compared.Clinical indicators such as exhaust time and hospitalization time,as well as postoperative complications in the two groups Summarized the intraoperative nursing cooperation methods and experience,standardized the nursing process of laparoscopic surgery and nursing,strengthened detail management,and highlighted key work links.Results All the patients in the observation group successfully completed the operation.The average operation time,postoperative anal exhaust time,hospitalization time and complication rate were better compared with the control group(P<0.05).Conclusion The perfect operating room care cooperation program and the skilled training of nurses are the powerful guarantee for the successful completion of SA-LESS surgery.

关 键 词：腹腔镜检查 泌尿系疾病 人文科学 护理配合 

分 类 号：R473.6[医药卫生—护理学] R699[医药卫生—临床医学]