简介:【摘要】目的 分析左侧卧位腹腔镜手术处理肝右后叶外伤的可行性及安全性。方法 回顾性分析本院2020年3月-11月期间收治的15例采用左侧卧位腹腔镜手术处理的肝右后叶外伤患者,记录和分析手术方式和时间、腹腔积血量、术中出血量、术后引流量、住院时间、并发症。结果 左侧卧位腹腔镜下缝合修补术7例、切除部分肝脏术3例、单纯电凝止血3例、结扎出血血管2例,所有手术都成功完成。腹腔积血量(1526.89±373.56)ml、术中出血量(80.62±16.73)ml、手术时间(88.56±9.14)min、住院时间(7.23±1.37)d、术后引流量(93.86±13.64)ml、出现5例并发症,均为右侧胸腔积液,常规治疗后痊愈。结论 对肝右后叶外伤患者采用左侧卧位腹腔镜手术进行处理,视野好,便于修复,基本不会造成二次损伤,快速恢复,不管是可行性还是安全性均较好,值得推广。
简介:【摘要】目的:研究分析腹腔镜胆囊切除手术护理方法及术中护理体会。方法:此次研究的对象是选择 2017年 2月~ 2020年 2月我院进行腹腔镜胆囊切除手术的患者 100例,将其临床资料进行回顾性分析,并随机分为对照组和观察组,对照组 50例患者采取常规护理模式;观察组 50例患者采取综合护理模式,比较两组患者对护理的满意度以及医生对术中配合的满意度。结果:两组患者对护理的满意度以及医生对术中配合的满意度都明显高于对照组( P<0.05)。结论:腹腔镜手术的成功与否,关键和器械护理人员的术中配合有关,术中护理人员配合得当,可以保证手术操作过程中顺利进行,并在一定程度上缩短手术所用的时间,减轻病人的痛苦,提高手术的效果。 【关键词】腹腔镜、胆囊切除手术、术中护理、心理护理 [Abstract] Objective: To study and analyze the nursing methods and experience of laparoscopic cholecystectomy. Methods: 100 patients who underwent laparoscopic cholecystectomy in our hospital from February 2017 to February 2020 were selected for this study, and their clinical data were analyzed retrospectively. They were randomly divided into control group and observation group. 50 patients in the control group adopted routine nursing mode; 50 patients in the observation group adopted comprehensive nursing mode to compare the satisfaction of patients in the two groups and doctors Satisfaction with intraoperative cooperation. Results: the satisfaction of patients and doctors in the two groups was significantly higher than that in the control group (P < 0.05). Conclusion: the key to the success of laparoscopic surgery is the cooperation of the equipment nurses during the operation. The proper cooperation of the nurses during the operation can ensure the smooth operation, shorten the operation time to a certain extent, reduce the patients' pain and improve the effect of the operation.
简介:摘要目的 本文着重分析对行腹腔镜胆囊切除术患者术后护理过程中,临床采取优质护理干预方案,列举相关数据判定实践价值。方法 本次研究按照入院编号单双数字法将2023年1月-2024年1月期间94例接受腹腔镜胆囊切除术治疗的患者分为对照组和实验组(每组各47例),通过统计学方法中相应的工具对其研究数据进行检验。结果 实验组患者术后恢复良好且住院时间明显缩短,整体护理满意度高达97.87%(46/47),各数据均优于对照组,组间数据差异达到P<0.05标准。结论 优质护理干预方案对行腹腔镜胆囊切除术患者术后机体恢复、预后质量的提升等方面均发挥着积极的干预作用,患者认可度、接受度较高,对此方案建议大力推广应用。
简介: 摘要:目的:研究循证护理应用在胆囊结石腹腔镜术后疼痛患者护理中的临床效果。方法:选取 2016年 2月~ 2018年 6月我院 100例胆囊结石腹腔镜术患者为研究对象,将其随机分为观察与对照两组,对照组进行常规护理,观察组进行循证护理,对比两组护理效果。结果:观察组患者术后 3天、 4天以及 5天的 VAS评分显著低于对照组,疼痛持续时间显著短于对照组( P<0.05)。结论:循证护理应用在胆囊结石腹腔镜术后疼痛患者护理中的临床效果显著,值得广泛推广。 关键词:循证护理;胆囊结石;腹腔镜;术后疼痛 Abstract: Objective: To study the clinical effect of evidence-based nursing in patients with pain after laparoscopic cholecystolithiasis. Methods: 100 cases of laparoscopic cholecystolithiasis patients in our hospital from February 2016 to June 2018 were selected as the study objects, and they were randomly divided into observation and control groups. The control group received routine nursing, the observation group received evidence-based nursing, and the nursing effect of the two groups was compared. Results: the VAS score of the observation group was significantly lower than that of the control group on the 3rd, 4th and 5th day after operation, and the duration of pain was significantly shorter than that of the control group (P < 0.05). Conclusion: the clinical effect of evidence-based nursing on patients with pain after laparoscopic cholecystolithiasis is significant, and it is worth popularizing.
简介:摘要:目的:分析优质护理用于胆囊结石腹腔镜术后患者的效果观察。方法:本次研究选取2020年4月-2021年5月期间于我院进行腹腔镜手术治疗的胆囊结石患者44例,随机分为常用常规护理的常规组和进行优质护理的研究组,记录比较这两组患者的对临床护理服务的满意度及并发症的发生情况。结果:研究组总的护理服务满意率为95.45%,高于常规组的77.27%。研究组并发症的发生率为4.55%,显著优于对照组的13.64%(P<0.05)。结论:在胆囊结石腹腔镜患者术后的临床护理工作中,优质护理是一种更加科学的护理模式,不仅可以减少不良事件的发生,还能够有效地提高患者对临床护理的满意满意度,提高患者的术后康复。因此在胆囊结石腹腔镜术后患者的护理中,优质护理值得推广。
简介:【摘要】目的:讨论腹腔镜胆囊切除术后护理采用中西医结合快速康复外科理念的效果。方法:针对自2021年1月至2021年月4以来所收治的30名接受了腹腔镜胆囊切除术的病人进行研究。将他们分到采用西医护理的对照组(n=15)和采用中西医结合快速康复外科理念的研究组(n=15)。对比研究组和对照组术的胃肠功能恢复情况和并发症出现率。结果:研究组的肠鸣音恢复时间、术后进食时间、肛门排气时间以及住院时间均短于对照组,差异具有统计学意义(P
简介: 摘要:目的:研究讨论综合护理干预在腹部手术后粘连性肠梗阻护理中的应用效果。方法:选择 2018年 1月至 2020年 1月本院患者 80例进行研究讨论,把所有患者随机分为两组,两组都为 40例,其中对照组采用常规的入院护理,观察组采取综合护理干预措施对其进行护理,观察两组患者对护理人员的满意度、护理后患者出现肠粘性肠梗阻的情况以及患者胃肠功能恢复的时间。结果:观察组患者的满意度比对照组的要高,发生率明显的比对照组低,患者胃肠功能恢复的时间比对照组的要短,两组比较, P<0.05。结论:对于腹部手术后的患者,采取综合护理干预措施对其进行护理,不但可以提高患者对护理人员的满意度,还可以减少肠梗阻的发生,促进胃肠功能的恢复,效果显著可以在今后患者的护理过程中应用。 关键词:综合护理干预;腹部手术;粘连性肠梗阻;护理;应用效果 Abstract: Objective: To study and discuss the effect of comprehensive nursing intervention in postoperative adhesive intestinal obstruction. Methods: 80 patients in our hospital from January 2018 to January 2020 were selected for study and discussion. All patients were randomly divided into two groups, 40 patients in both groups, of which the control group used routine hospital care, the observation group took comprehensive nursing intervention measures to care for them, and observed the satisfaction of the two groups of patients with nursing staff, the situation of patients with intestinal sticky obstruction after nursing and the patients Recovery time of gastrointestinal function. Results: the satisfaction of the patients in the observation group was higher than that in the control group, the incidence was significantly lower than that in the control group, and the recovery time of gastrointestinal function was shorter than that in the control group, P < 0.05. Conclusion: for the patients after abdominal operation, comprehensive nursing intervention can not only improve the satisfaction of patients with nursing staff, but also reduce the occurrence of intestinal obstruction and promote the recovery of gastrointestinal function. The effect is significant and can be applied in the nursing process of patients in the future.
简介:【摘要】目的:研究高龄腹腔镜结直肠癌患者在术后肠功能恢复过程中使用快速康复外科护理干预的效果。方法:选择50例高龄腹腔镜结直肠癌患者,25例研究组患者在术后肠功能恢复过程中使用快速康复外科护理干预,25例对照组患者在术后肠功能恢复过程中使用常规护理,对比组间数据。结果:比较对照组排气时间、排便时间以及下床时间发现,研究组均明显缩短(P<0.05);对比对照组,研究组并发症发生率明显更低(P<0.05)。结论:高龄腹腔镜结直肠癌患者在术后肠功能恢复过程中使用快速康复外科护理干预的效果较为理想。
简介:摘要:目的 对不同年龄腹腔镜下胆囊切除患者术中体温变化进行分析,讨论护理方法。方法 选择2021年3月至2022年3月期间在本院70例行胆囊切除术患者,以55岁为年龄分界线,记超过55岁的患者为对照组,共36例,记低于55岁的患者为研究组,共34例。记录并对比两组患者书中体温变化情况,讨论护理思路。结果 超过55岁的患者在入室后120min和150min,体温明显低于对照组(P<0.05),其他时刻两组患者体温对比无明显差异(P>0.05)。结论 针对年龄较大的胆囊切除患者,应格外警惕术中低体温现象,适当开展保温护理,保证患者手术安全。
简介:摘要:目的 探究于腹腔镜下子宫内膜癌根治术病人中采用快速康复外科护理对氧化应激反应的影响。方法 以2021年2月至2023年6月为研究时间区间,甄选腹腔镜下子宫内膜癌根治术病人共计80例展开分析,采用随机数字表法进行分组,可分为40例对照组和40例观察组。将常规护理应用于对照组内。将快速康复外科护理应用于观察组。以氧化应激反应指标改善情况作为观察指标。结果