腹腔镜与开放手术切除肾上腺肿瘤术后护理的对照观察

Comparative research about treatment of adrenal gland tumor by laparoscopy and open surgical operation

目的 :对比腹腔镜与传统开放性肾上腺肿瘤切除术的护理。方法 :对腹腔镜和开放手术组患者进行心理护理、术前干预和术后常规护理 ,统计和分析肠道功能恢复 ,下床活动时间 ,平均住院时间、切口疼痛情况等。结果 :腹腔镜肾上腺肿瘤切除术后镇痛次数 ,术后肠功能恢复时间 ,术后下床活动时间 ,术后住院时间、住院总天数均少于开放手术组 (P <0 0 1)。术后拔除引流管时间 ,输液天数亦显著短于开放组 (P <0 0 5 )。结论 :腹腔镜切除肾上腺肿瘤具有创伤小、恢复快、容易护理等优点 ,较以往提高了护理工作效率 ,治疗效果与开放手术相近 。

Objective:To compare treatment of adrenal gland tumor by laparoscopy and open operation.Method:We had given psychological nursing,preoperative nursing post operative rountinal nursing analyze intestinal function recovery,time for ambulation in hospitalized duration incision pain.Result:The following indexes are better in laparoscopy group,postoperation analyesia,time for intestinal function recovery,inhospitalized duration,time for anbulation(P<0.01),time for removal of drainage tube is earlier,time for intraveinous transfusion is shorter in laparoscopy group(P<0.05).Conclusion:Laparoscopy operation is of minimal invasion rapid recovery,easy for nursing and welcome in patients and medical workers.