不同护理干预措施对急性胆囊炎腹腔镜切除术后并发症的影响

吕美云

（府谷县中医医院外科，陕西 榆林，719499）

浏览次数：62次 下载次数：319次

摘要：

目的 探讨不同护理干预措施对急性胆囊炎腹腔镜切除术后并发症的影响。方法 将120例急性胆囊炎患者按照护理 方式不同分为两组，对照组（60例）给予常规护理，观察组（60例）给予并发症的预防护理措施。观察并记录术后3个月内两组患者并发症发生情况。结果 护理后，观察组患者的伤口感染、术后出血、肺部感染和胆漏的发生率及并发症总发生率明显低于对照组患者，差异均有统计学意义（P<0.05）。结论 采取并发症护理措施，可以有效降低急性胆囊炎患者术后并发症发 生率，提高患者生活质量，使其较快康复出院，具有较高的临床应用价值。

关键词：常规护理；并发症的预防护理；术后出血；肺部感染；胆漏

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2016)27-0190-02

The impact of different nursing interventions on complications after laparoscopic cholecystectomy in treatment of acute cholecystitis
LV Mei-yun
(Surgical Department, Chinese Medicine Hospital in Fugu County, Yulin 719499, China)

ABSTRACT: Objective To discuss the impact of different nursing interventions on complications after laparoscopic cholecystectomy in treatment of acute cholecystitis. Methods One hundred and twenty cases of patients with acute cholecystitis were selected and divided into two groups according to nursing methods. The control group (60 cases) was given routine care, while the observation group (60 cases) was given preventive care of complications. The effect on complications prevention was evaluated at 3 months after surgery. Results After the nursing, the incidence rate of wound infection, postoperative bleeding, pulmonary infection and bile leakage and total complication incidence rate in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Adopting preventive care of complications could remarkablely reduce the incidence rate of postoperative compliacations. It could improve the quality of life and promote recovery of patients with high clinical value.
KEYWORDS: routine care; preventive care of complications; postoperative bleeding; pulmonary infection; bile leakage

参考文献：
[1] 王建芳,唐文雅.护理干预对急性胆囊炎腹腔镜切除术后并发症的 影响[J].中国冶金工业医学杂志,2012,29(3):308.
[2] 王卉.急性胆囊炎腹腔镜胆囊切除102 例术后护理体会[J].医学理 论与实践,2013,26(4):518-519.
[3] 梁岩,张显胜,于守福.老年急性胆囊炎行腹腔镜手术后并发症的 护理研究[J].世界最新医学信息文摘,2016,16(57):22-23.
[4] JANG WS,LIM JU,JOO KR,et al.Outcome of conservative percutaneous cholecystostomy in high-risk patients with acute cholecystitis and risk factors leading to surgery[J].Surg Endosc,2015,29(8):2359-2364.
[5] 唐叶琴,戈祝新,盛江玭.老年急性胆囊炎腹腔镜胆囊切除术的手术护理配合[J].中国伤残医学,2014,22(6):234-235.
[6] YACOUB JH,YOUSUF A,AGRAWAL G,et al.Evaluation of the gallbladder and cystic duct patency with gadoxetate disodium enhanced MR cholangiography: prospective comparison of patients with normal gallbladder function and acute cholecystitis[J].Acta Radiol,2015,56(7):782-729.
[7] 李德富.老年急性胆囊炎患者早期行腹腔镜胆囊切除术围术期处理分析[J].检验医学与临床,2011,8(13):1543-1544.
[8] SIPPEY M,GRZYBOWSKI M,MANWARING ML,et al.Acute cholecystitis: risk factors for conversion to an open procedure[J].J Surg Res, 2015,199(2):357-361.
[9] BAGLEY SJ,SEHGAL AR,GILL S,et al.Acute cholecystitis is a common complication after allogeneic stem cell transplantation and is associated with the use of total parenteral nutrition[J].Biol Blood Marrow Transplant,2015,21(4):768-771.
[10] SATO N,KOHI S,TAMURA T,et al.Single -incision laparoscopic cholecystectomy for acute cholecystitis: A retrospective cohort study of 52 consecutive patients[J].Int J Surg,2015,17(2):48-53.
[11] YAMADA K,YAMASHITA Y,YAMADA T,et al.Optimal timing for performing percutaneous transhepatic gallbladder drainage and subsequent cholecystectomy for better management of acute cholecystitis[J].J Hepatobiliary Pancreat Sci,2015,22(12):855-861.
[12] KIM JC,JIN HM,CHO YN,et al.Deficiencies of circulating mucosal-associated invariant T cells and natural killer T cells in patients with acute cholecystitis[J].J Korean Med Sci,2015,30(5):606-611.
[13] DE MESTRAL C,HOCH JS,LAUPACIS A,et al.Early cholecystectomy for acute cholecystitis offers the best outcomes at the least cost: a model-based cost-utility analysis[J].J Am Coll Surg,2016,222(2):185-194.
[14] COCCOLINI F,SARTELLI M,CATENA F,et al.Antibiotic resistance pattern and clinical outcomes in acute cholecystitis: 567 consecutive worldwide patients in a prospective cohort study[J].Int J Surg,2015,21(1): 32-37.