胆囊结石行腹腔镜胆囊切除术围手术期的护理体会

张小彦

（汉中市铁路中心医院，陕西 汉中，723000）

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摘要：

目的 探讨胆囊结石行腹腔镜胆囊切除术围手术期的护理体会。方法 将在我院行腹腔镜胆囊切除术治疗的130 例胆 囊结石患者随机分为对照组和观察组，各65 例。对照组采用常规围术期护理，观察组采用围术期综合护理。比较两组患者的 护理效果。结果 观察组患者术后排气时间、术后镇痛药使用率、下床活动时间、住院时间、并发症总发生率及护理满意度均 优于对照组（P<0.05）。护理后，两组患者的SAS、SDS 评分均明显降低，且观察组低于对照组（P<0.05）。结论 胆囊结石行腹腔 镜胆囊切除术围手术期采用综合护理干预效果更佳，能有效促进患者术后恢复，减少并发症的发生，提升护理满意度。

关键词：胆囊结石；腹腔镜胆囊切除术；围手术期

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2018)04-0174-02

Perioperative nursing experience of laparoscopic cholecystectomy in patients with gallstone
ZHANG Xiao-yan
(Railway Central Hospital of Hanzhong, Hanzhong 723000, China)

ABSTRACT: Objective To study the perioperative nursing experience of laparoscopic cholecystectomy in patients with gallstone. Methods A total of 130 cases of gallstone patients undergoing laparoscopic cholecystectomy in our hospital were randomly divided into control group and observation group, with 65 cases in each group. The control group received routine perioperative nursing, while the observation group received perioperative comprehensive nursing. The nursing effects of the two groups were compared. Results The postoperative exhaust time, postoperative analgesic usage, ambulation time, hospital stays, total incidence of complications and nursing satisfaction in the observation group better than those in the control group (P<0.05). After nursing, the SAS and SDS scores of both groups significantly decreased, and those of the observation group were lower than the control group (P <0.05). Conclusion Using comprehensive nursing intervention in the perioperative period of laparoscopic cholecystectomy in patients with gallstone has better effect, it can effectively promote the recovery of patients, reduce the incidence of complications and improve the nursing satisfaction.
KEYWORDS: gallstone; laparoscopic cholecystectomy; perioperative period

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