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泌尿外科后腹腔镜手术护理体会 被引量:13

Nursing experience of retroperitoneal laparoscopy surgery in urology
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摘要 目的探讨泌尿外科后腹腔镜手术围术期的护理。方法对我院2011年2月-2012年1月实施腹腔镜手术的106例泌尿外科患者的临床资料进行回顾性分析。将患者随机分为护理组和对照组,每组各53例。对照组术后给予常规护理,护理组采用有针对性的程序化护理,术后监测生命体征。对两组手术及术后恢复情况进行比较。结果护理组患者手术时间为(168.1±11.2)min,术中出血量为(180.6±20.1)mL,术后肠功能恢复时间为(22.8±7.2)h,术后住院时间为(6.3±0.1)d,与对照组比较[(245.2±10.8)min、(250.3±14.2)mL、(45.8±7.0)h、(19.3±0.4)d],差异均有统计学意义(t=10.286、8.287、9.102、10.023,均P〈0.05)。结论腹腔镜手术治疗泌尿外科疾病对患者创伤小,术中出血量少。护理人员应做好围术期的护理工作,促进患者康复。 Objective To study the perioperative nursing of retroperitoneal laparoscopy surgery in urology.Methods Clinical data of 106 cases of patients underwent retroperitoneal laparoscopy surgery in urology from February 2011 to January 2012 in our hospital were retrospectively analyzed.Patients were randomly divided into the care group and the control group,each group had 53 cases.The control group was given conventional nursing after surgery,the care group was given targeted programmed nursing,vital signs were monitored after surgery.Intraoperative and postoperative recovery conditions between the two groups were compared.Results The operation times,amount of bleeding in operation,postoperative bowel function recovery time,postoperation hospitalization duration in the care group were(168.1±11.2) min,(180.6±20.1) mL,(22.8±7.2) h,(6.3±0.1) d,which were significantly different from the control group [(245.2±10.8) min,(250.3±14.2) mL,(45.8±7.0) h,(19.3±0.4) d](t = 10.286,8.287,9.102,10.023,all P 0.05).Conclusion Laparoscopic surgical in the treatment of urological diseases has small trauma and less peri-operative bleeding.Nursing staff should do well in perioperative care to promote patients' recovery.
作者 廉洁 刘志刚
出处 《中国医药导报》 CAS 2012年第26期134-135,共2页 China Medical Herald
关键词 泌尿外科 腹腔镜手术 护理 Urology Laparoscopic surgery Nursing
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