摘要
目的探讨全麻下腹腔镜胆囊切除术中胃积气的护理干预措施。方法选取自2012年2月至2014年4月行腹腔镜胆囊切除术患者150例,按照手术先后顺序分为干预组和对照组,对照组采用常规护理方法,干预组在常规护理基础上进行心理护理、麻醉诱导时预给氧及按压腹部等护理干预,以减少术中胃积气的发生。观察两组患者术中胃积气的情况。结果干预组胃积气程度显著小于对照组,两组比较有显著差异(P<0.05)。结论适当的护理干预措施可以减少腹腔镜胆囊切除术中胃积气的发生,使手术视野能充分暴露,保证手术的顺利完成。
Objective To explore the care interventions of accumulated stomach gas produced in laparoscopiccholecystectomy with general anesthesia .Methods 150 laparoscopiccholecystectomy cases from February 2012 to April 2014 were selected .According to the order of surgeries , those cases were divided into two groups, the intervention and control groups . The control group adopted conventional methods , while the intervention group applied self-psychological care , pre-oxygenation during induction of anesthesia and nursing interventions , such as pressing the abdomen besides the conventional methods , in order to reduce the incidence of accumulated stomach gas produced during the surgeries .The volumes of accumulated stomach gas were recorded in both groups .Results It was found that accumulated stomach gas in the intervention group was significantly less than the control group （P〈0.05）.Conclusions Appropriate care interventions can reduce the incidence of accumulated stomachgas produced during laparoscopic cholecystectomy , which will lead to fullyoperative field exposure and then ensure the completion of the surgeries .
出处
《齐齐哈尔医学院学报》
2014年第20期3062-3063,共2页
Journal of Qiqihar Medical University
关键词
护理干预
全麻
腹腔镜胆囊切除术
胃积气
Care intervention
General anesthesia
Laparoscopic cholecystectomy
Accumulated stomach gas
