胸腔镜下与开胸进行肺叶切除术的护理对比.docVIP

精品论文 参考文献 胸腔镜下与开胸进行肺叶切除术的护理对比 孙政联 　　中国人民解放军总医院 北京 100853 　　【摘 要】目的：探讨传统肺叶切除手术以及胸腔镜下肺叶切除手术的患者在围手术期的护理措施。方法：选取我院2013年1月至2014年12月之间的进行肺叶切除的患者40例进行回顾性分析，将患者根据手术的方式分为开胸组与腔镜组，每组各20例，对两组患者的术后疼痛程度、术后恢复程度、术后护理要点等进行总结分析。结果：腔镜组患者术中的平均出血量以及患者的平均手术时间均少于开胸组，腔镜组患者患者术后引流液的两较开胸组明显减少、术后疼痛程度弱于开胸组、术后住院时间短于开胸组、术后护理较开胸组更为简便。结论：与开胸行肺叶切除术相比，在胸腔镜下行肺叶切除术可以缩短患者的住院时间、降低患者的疼痛，且胸腔镜下肺叶切除术的患者的术后的护理更为简便，患者的恢复状况更好。 　　【关键词】胸腔镜；开胸；肺叶切除术；护理 　　【中图分类号】R473.6 【文献标识码】B 【文章编号】1674-8999（2015）8-0101-01 　　【Abstract】Objective：to explore the traditional lobectomy and thoracoscopic lobectomy patients in perioperative care.Methods：between 2013 January to 2014 December in our hospital were lobectomy in 40 patients were analyzed retrospectively, patients will be according to the operation mode is divided into open chest group and the laparoscopic group,20 cases in each group,the two groups of patients with postoperative pain, postoperative recovery and postoperative nursing degree etc. summary analysis.Results：the average amount of bleeding and the patients average operation time of laparoscopic group of patients are less than open chest group, the laparoscopic group in patients with postoperative drainage liquid two thoracotomy group significantly reduced the degree of postoperative pain,weak in open chest group,postoperative hospitalization time is shorter than the open chest group,postoperative nursing is open chest group is more convenient.Conclusion： compared with open thoracotomy and lobectomy in VATS lobectomy, can shorten the time, reduce the pain of patients hospitalized patients, and nursing care of thoracoscopic lobectomy patients after operation is more convenient,the recovery of the patients condition better. 　　【Keywords】thoracoscopy；Open chest；Lobectomy of lung；nursing 　　随着生活环境以及生活习惯的改变，肺部疾病的发病率也在逐年提高，肺组织是人机体与外界器官进行气体交换、为机体提供氧气、排除废气的唯一器官，所以肺组织发生病理改变的时候，会直接影响到其他组织与器官，甚至危及到患者的生命安全。随着医疗技术的发展，手术已经成为治疗疾病的有效手段与方式，随着手术与麻醉技术的不断成熟，手术将有病理改变的肺叶切除已经成为治疗肺部疾病的主要手段，特别是对肺结核以及肺癌的治疗。将有病理改变的肺叶切除进而防止阻遏疾病的发展防止病理改