围手术期系统护理在腹腔镜胆囊切除术治疗胆结石中的临床应用

发布时间：2018-03-03 00:35

本文选题：围手术期系统护理　切入点：腹腔镜　出处：《当代护士(下旬刊)》2017年04期 　论文类型：期刊论文

【摘要】：目的探究与分析围手术期系统护理在腹腔镜胆囊切除术治疗胆结石中的应用效果。方法选取本院自2015年4月~2016年4月收治的180例接受腹腔镜胆囊切除术治疗胆结石的患者,采取随机数字表法分为常规护理组与围手术期系统护理组,每组各90例,对比两组手术时间、肛门排气时间、住院时间、术中出血量、止痛药使用率、并发症发生率及护理满意度。结果围手术期系统护理组与常规护理组相比手术时间、肛门排气时间、住院时间均缩短,术中出血量减少,止痛药使用率较低,差异均具有统计学意义(P0.05);围手术期系统护理组与常规护理组相比腹痛腹胀率、消化不良率、切口感染率、皮下气肿率均较低,差异均具有统计学意义(P0.05);围手术期系统护理组与常规护理组相比护理满意度较高,差异具有统计学意义(P0.05)。结论将围手术期系统护理应用于腹腔镜胆囊切除术治疗胆结石患者的过程中可改善围手术期指标,降低并发症发生率,提高患者的护理满意度。
[Abstract]:Objective to explore and analyze the effect of perioperative systematic nursing in the treatment of cholecystolithiasis by laparoscopic cholecystectomy. Methods from April 2015 to April 2016, 180 patients with cholecystolithiasis underwent laparoscopic cholecystectomy. The patients were divided into routine nursing group (n = 90) and perioperative systematic nursing group (n = 90) by random digital table. The operation time, anal exhaust time, hospitalization time, intraoperative bleeding volume and utilization rate of painkillers were compared between the two groups. Results compared with the routine nursing group, the operative time, anal exhaust time, hospital stay were shortened, the amount of intraoperative bleeding was decreased, and the utilization rate of painkillers was lower in the system nursing group than in the routine nursing group. The incidence of abdominal pain, abdominal distension, dyspepsia, incision infection rate and subcutaneous emphysema were lower in the perioperative nursing group than in the routine nursing group. The difference was statistically significant (P 0.05), and the nursing satisfaction was higher in the system nursing group than that in the routine nursing group during the perioperative period. Conclusion the application of perioperative systematic nursing in the treatment of cholecystolithiasis patients with laparoscopic cholecystectomy can improve the perioperative index, reduce the incidence of complications and improve the nursing satisfaction of patients with cholelithiasis.
【作者单位】：江苏省兴化市第五人民医院;
【分类号】：R473.6

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