机器人辅助下肾部分切除术快速康复护理体会

发布时间：2018-01-02 02:20

本文关键词：机器人辅助下肾部分切除术快速康复护理体会　出处：《实用医学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨快速康复护理应用于机器人辅助下肾部分切除手术患者的安全性和有效性。方法:回顾2016年1-9月我院72例行机器人辅助下肾部分切除手术患者术后快速康复围手术期护理进行总结分析。结果:全组手术患者术后住院时间为(6.06±2.34)d,术后肠道恢复时间为(1.18±0.39)d,下床活动时间为(1.68±1.25)d,尿管留置时间(2.61±1.31)d,引流管留置时间(3.56±1.76)d,其中6例患者带引流管出院,1例术后出现瘘尿,1例患者肾周积液二次入院。所有患者均未出现出血、高碳酸血症和急性肾功能衰竭等并发症。结论:快速康复围手术期护理应用于机器人辅助下肾部分切除手术,有利于促进患者康复,减轻患者术后不适,减少术后住院时间,节约医疗成本,且不影响手术的安全性。
[Abstract]:Objective: To evaluate the efficacy and safety of rapid rehabilitation nursing applied in robot assisted partial renal resection patients. Methods: in our hospital in 2016 1-9 months in 72 cases and partial renal resection robot assisted surgery in patients with rapid recovery after perioperative nursing were analyzed. Results: all the patients during the postoperative hospitalization time was (6.06 + 2.34) d, postoperative intestinal recovery time (1.18 + 0.39) d, ambulation time for (1.68 + 1.25) d, catheter indwelling time (2.61 + 1.31) d, drainage tube indwelling time (3.56 + 1.76) d, among which 6 cases were discharged with drainage tube, 1 cases after 1 cases of patients with urinary fistula, perinephric effusion two admission. All patients had no complications of bleeding, hypercapnia and acute renal failure. Conclusion: the rapid rehabilitation of perioperative nursing application in renal part of robot assisted surgery, promote the rehabilitation of patients, reduce the The patients are discomfort after operation, reduce the time of postoperative hospitalization, save the cost of medical treatment, and do not affect the safety of the operation.

【作者单位】：中山大学肿瘤防治中心泌尿外科;
【分类号】：R473.73
【正文快照】： 肾癌的发病率约占成人恶性肿瘤的2%~3%,肾部分切除术成为早期治疗局限性肾肿瘤手术的重要方法且日益成熟[1]。而达芬奇机患者手术系统的出现把肾部分切除术推向一个新的高度[2]。术后快速康复是采用有循证医学证据支持的围手术期护理措施,以有效减少手术患者机体的应激和并发

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