摘要
目的探讨腹腔镜术后腹胀的原因,并总结护理对策。方法收集2008年1-10月本院腹腔镜手术后发生腹胀的49例患者的临床病例资料,并对引起腹胀的原因进行分析。结果手术时间、血钾浓度与腹胀出现及持续的时间有关(均P<0.05)。其中手术时间超过2h的患者术后24h内腹胀发生率高,持续时间长;血钾浓度低者腹胀持续时间长。结论对术前血钾浓度低和手术时间长的患者加强术后观察。同时做好心理护理、饮食和功能锻炼的指导、及时进行氧气吸入及必要的按摩有助于减轻或缓解患者术后腹胀。
Objective To investigate the causes of abdominal distention after laparoscopic surgery, and to summarize the measures of nursing care. Method The clinical data of 49 patients with abdominal distention after laparoscopic surgery from January to October 2008 were selected, and the relative factors were analyzed. Results Operative duration and serum potassium concentration were related with the appearance and duration of abdominal distention. Abdominal distention appeared relatively earlier and lasted longer in patients whose operation was over 2 h and in patients with lower serum potassium concentration. Conclusions Postoperative observation to patients with low preoperative serum potassium concentration or long operation duration must be strengthened. Psychological care, diet and exercise guidance, oxygen inhalation and necessary massage help to alleviate abdominal distension.
出处
《现代临床护理》
2009年第9期53-55,共3页
Modern Clinical Nursing
关键词
腹腔镜手术
腹胀
护理
laparoscopic surgery
abdominal distension
nursing
