腹腔镜胆囊切除术手术室护理及配合的的体会.docVIP

腹腔镜胆囊切除术手术室护理及配合的的体会 　　【摘要】 目的：探讨腹腔镜胆囊切除80例手术室护理及配合体会。方法：对实施腹腔镜胆囊切除手术80例患者实施手术前准备（术前访视、术前物品的准备、避免滑落）、术中配合（巡回护士配合、器械护士配合、术中护理）、术后护理（常规复苏、引流管、并发症观察护理等、器械清洗及保养、术后随访）等。结果：80例胆囊疾病患者全部顺利完成手术，无中转开腹病例，手术时间平均（44.22±5.56）min，术中出血平均（16.22±2.87）ml；手术后皮下气肿、软组织损伤各2例（5.00%），术后住院（4.87±0.56）d。80例患者对手术室护理满意率98.75%；20名手术及麻醉医生对手术室护理满意率100%。结论：对腹腔镜胆囊切除患者给予手术室护理及配合，顺利完成手术，手术时间短，术中出血少、术后并发症发生率低；患者、手术及麻醉医生对手术室期护理满意率高，值得临床应用。 　　【关键词】 腹腔镜； 胆囊切除； 手术室； 护理干预； 配合 　　doi：10.14033/j.cnki.cfmr.2017.27.050 文献标识码 B 文章编号 1674-6805（2017）27-0093-02 　　Nursing and Cooperation of Laparoscopic Cholecystectomy in Operation Room/CAO Min-hui.//Chinese and Foreign Medical Research，2017，15（27）：93-94 　　【Abstract】 Objective：To investigate the nursing and cooperation of laparoscopic cholecystectomy in 80 cases.Method：Preoperative preparation（preoperative visit，preoperative preparation of articles，avoid slipping），intraoperative cooperation（circuit nurse cooperation，instrument nurse cooperation，intraoperative care），postoperative care（routine recovery，drainage tube，complications observation and nursing，cleaning and maintenance of equipment，postoperative follow-up） were given to the 80 patients with laparoscopic cholecystectomy.Result：80 patients with gallbladder disease all successfully completed surgery，no conversion to open surgery，the average operation time was （44.22±5.56）min，the average intraoperative bleeding was （16.22±2.87）ml.Postoperative subcutaneous emphysema，soft tissue injury were occurred in 2 cases（5.00%） respectively.The postoperative hospitalization was （4.87±0.56）d.80 patients’ operation room nursing satisfaction rate was 98.75%，20 operation and anesthesia doctors’ operation room nursing satisfaction rate was 100%.Conclusion：Operation room nursing and cooperation for patients with laparoscopic cholecystectomy，the surgery is successful completion，the operation time is short，the intraoperative bleeding is less and the postoperative complications is low.The satisfaction rates of patients，surgery an