腹腔镜阑尾切除术护理体会 方友梅.docVIP

精品论文 参考文献 腹腔镜阑尾切除术护理体会 方友梅 武汉市黄陂区人民医院外科 湖北武汉 430300 【摘 要】目的：讨论不同护理方法在腹腔镜阑尾切除术的护理效果。方法：回顾性分析2014年6月-2015年11月期间因阑尾炎入住我院需腹腔镜下切除术患者94例，按计划分为2组，各47例，分别予以综合护理法和传统护理法，比较2组患者护理后术后恢复、并发症发生以及满意度情况。结果：综合护理法组下床活动时间10.2plusmn;4.2h明显少于传统护理组16.9plusmn;5.1h，住院时间5.9plusmn;1.4d明显少于传统护理组10.2plusmn;2.9d，总并发症率8.4%明显少于传统护理组29.7%，总满意率100%显著高于传统护理组83%。结论：综合护理法在腹腔镜阑尾切除术护理中效果明显，并发症发生率低，患者满意度高，推荐临床广泛应用 【关键词】腹腔镜阑尾切除术；综合护理法；传统护理法 Nursing experience of laparoscopic appendectomy Fang Youmei （Huangpi Wuhan peoples Hospital，Wuhan Hubei 430300） Abstract Objective：to discuss the nursing effect of different nursing methods in laparoscopic appendectomy. Methods：retrospective analysis of 94 cases of patients with appendicitis admitted to our hospital during November -2015，2 cases were divided into 2 groups according to the plan，the 47 cases were treated with comprehensive nursing care and traditional nursing method. Results：the time of bed activity in the comprehensive nursing group was significantly less than that in the conventional nursing group 16.9 + 5.1h，the length of stay was significantly less than that of the conventional nursing group 10.2 + 2.9d，the total complication rate was 8.4%，and the total satisfaction rate was 29.7%，100%，83%. Conclusion：the comprehensive nursing care in the laparoscopic appendectomy has obvious effect，the incidence of complications is low，patients satisfaction is high，it is recommended that the clinical application is widely used. [Keywords] laparoscopic appendectomy；comprehensive nursing；traditional nursing 阑尾炎作为普外科最常见的急腹症之一，手术治疗是其最佳选择，腹腔镜手术是一种微创手术，腹腔镜阑尾切除术具有创口小、疼痛轻、恢复快、并发症少等优点，已成为临床治疗急、慢性阑尾炎的首选手术方式[1，2]。而手术最后的成败与否不仅只是操作过程的顺利，护理方法的选择同样具有举足轻重的作用，本文将就综合护理法和传统护理法进行比较。 1 临床资料 1.1 一般资料 回顾性分析2014年6月-2015年11月期间因阑尾炎入住我院需腹腔镜下切除术患者94例，按计划分为2组，各47例，分别予以综合护理法和传统护理法。2组患者均选择年龄19-46岁，平均年龄30plusmn;2.5岁；男26例，女21例；开始发病距手术时间均8-49h，平均时