优质护理在腹腔镜胃穿孔修补术围术期的应用.docVIP

精品论文 参考文献 优质护理在腹腔镜胃穿孔修补术围术期的应用 1赛宗娜 威海市立医院胃肠外科?264200? 2丛春静 威海市立医院胸心外科?264200 【摘要】目的：分析优质护理在腹腔镜胃穿孔修补术围术期的应用效果。方法：选取近来3年前往我院行腹腔镜胃穿孔修补术患者89例，按入院时间先后分为对照组、观察组，给予对照组常规护理，给予观察组以对照组为基础加用优质护理，比较两组排气时间、住院时间、肠鸣音恢复时间以及并发症发生率。结果：观察组的排气时间、住院时间、肠鸣音恢复时间均显著优于对照组，差异有显著性（plt;0.05）。结论：优质护理在腹腔镜胃穿孔修补术围术期的应用，可加快胃肠功能恢复，且有效降低并发症发生率，值得各大医院的临床推广应用。 【关键词】优质护理；腹腔镜胃穿孔修补术；围术期；效果 High quality nursing care in the application of laparoscopic repair of gastric perforation perioperative 【abstract】objective: analysis of the quality of nursing in the application of laparoscopic repair of gastric perforation perioperative effects. Methods: selecting the recent 3 years in our line of laparoscopic repair of gastric perforation patients 89 cases, in hospital time is divided into the control group,the observation group, give control group routine nursing care, give group on the basis of the control group used high quality nursing, comparing two groups of exhaust time, length of hospital stay and bowel sounds recovery time and the incidence of complications. Results: the observation group of exhaust time, length of hospital stay and bowel sounds recovery time were significantly better than the control group, with significant difference(plt;0.05).Conclusion:the quality of nursing in the application of laparoscopic repair of gastric perforation perioperative, can accelerate the recovery of gastric bowel function, and effectively reduce the incidence of complications, worthy of each big hospital clinical popularization and application. 【key words】quality care; Laparoscopic repair of gastric perforation; Perioperative; The effect 溃疡病并发症中，胃十二指肠溃疡急性穿孔为其之一，且是外科常见急腹症，该病发病快、病情中，威胁患者生命安全，通常需要采取手术进行治疗。腹腔镜手术因安全性高、创伤小、恢复迅速及并发症发生率低等优势，而被普遍应用在胃穿孔临床治疗中，但围手术期的护理配合却直接影响到治疗效果[1]。我院近来给予45例行腹腔镜胃穿孔修补术患者优质护理，效果显著，现对其进行分析，报道如下。 1.资料与方法 1.1一般资料 选取2013年8月至2015年7月前往我院行腹腔镜胃穿孔修补术患者89例，按入院时间先后分为对照组及观察组。其中对照组44例，男23例，女21例；年龄22-68岁，平均年龄（41.05士6.83）岁；按穿孔部位划分：十二指肠溃疡球部穿孔28例，胃溃疡穿孔16例。观察组45例，男23例，女22例；年龄21-69岁，平均年龄（42.