摘要
目的总结腹腔镜减重手术不同摆放体位的护理体会及特点。方法回顾性分析10例行腹腔镜减重手术的肥胖患者的临床资料,其中"大"字体位摆放5例,平卧位摆放5例,观察术前体位摆放时间。结果 "大"字位体位摆放时间平均(12.86±0.15)min,平卧位体位摆放时间平均(7.27±0.28)min,2种体位摆放时间差异有统计学意义(P<0.05)。10例患者手术均获得成功,术后随访6~8个月,术后半年体质量下降30%~45%。患者术后均未出现营养不良、出血、感染、消化道瘘等反应。结论腹腔镜减重手术术前使用平卧位可以明显缩短术前准备时间,减少医务人员工作量,消除患者紧张情绪,为患者树立手术信心。
Objective To summarize the nursing measures of obese patients with different operative positions during laparoscopic bariatric surgery. Methods To retrospectively analyze the clinical data of 10 obese patients undergoing laparoscopic bariatric surgery. The spread-eagle operative position was adopted in 5 patients and supine operative position was used in other 5 patients.Results The average time of placing spread-eagle operative position was（12. 86 ± 0. 15） min,which was higher than（7. 27 ± 0. 28） min of placing supine operative position（ P〈0. 05）. All 10 patients received successful operation and no adverse complications were found after surgery. The percentage of excess weight loss was 30% to 45% after 6 to 8 month follow-up. Conclusion The application of supine operative position to obese patients could reduce the preparation time before laparoscopic bariatric surgery.
作者
起胜薇
杨华武
刘雁军
张元川
詹大方
廖敏
QI Shengwei;YANG Huawu;LIU Yanjun;ZHANG Yuanchuan;ZHAN Dafang;LIAO Min(Operating Theater;Depart of General Surgery;The Third People＇s Hospital of Chengdu,Chengdu,Sichuan,610031)
出处
《中西医结合护理（中英文）》
2018年第6期101-102,共2页
Journal of Clinical Nursing in Practice
关键词
减重手术
肥胖
手术体位
腹腔镜
体质量指数
bariatric surgery
obesity
operative position
laparoscopy
body mass index
