摘要
目的：探讨高龄患者腹腔镜胆囊切除术的围术期护理效果。方法回顾性分析我院2009年4月至2012年4月收治入院的高龄胆囊结石患者100例临床资料，根据治疗护理方法不同分为两组，每组50例，两组患者均行腹腔镜胆囊切除术治疗，对照组常规护理干预，观察组实施围术期综合性护理干预，观察两组患者手术时间、术中出血量、术后首次肛门排气时间、住院时间等，并进行统计学分析。结果两组病例均成功完成手术，无死亡病例，所有患者均痊愈出院。其中对照组术中并发症2例，1例胆道损伤，1例切口感染，用药处理后均好转，观察组无并发症发生。观察组手术时间、术中出血量及进食时间、住院时间等均较对照组患者减少或降低，P＜0．05，具有统计学意义。结论实施围术期综合性护理干预能够改善高龄患者术中情况，是成功进行手术的重要保证。
Objective To investigate effect of perioperation nursing for elderly patients with laparoscopic cholecystectomy （ LC） . Methods Retrospective study was made on 100 elderly patients with gallstones from April 2009 to April 2012.These patients were randomly divided into experiment and control groups, patients in experiment group were treated with perioperation comprehensive nursing, in control group were treated with normal nursing.A statistical analysis was made about operation time, bleeding volume in surgery, exsufflation time af-ter operation and hospital stays.Results Operations were done successfully, there was no dead patient, all patients were recovery.There were 2 patients with complications, 1 case with biliary duct injury, 1 case with incision infection in control group and they turned well after treated with drug.There was no patient with complication in experimental group.There were significant differences in operation time, bleed-ing volume in surgery, exsufflation time after operation and hospital stays between experimental and control groups （P〈0.05） .Conclusions Perioperation nursing could improve intraoperative situation of elderly patients, is important guarantee for successful operation.
出处
《国际护理学杂志》
2015年第10期1305-1307,共3页
international journal of nursing
