腹腔镜与开腹胆囊切除术的护理及卫生资源利用情况的对比分析

Laparoscopic cholecystectomy versus open cholecystectomy in nursing and health resources saving

目的比较腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)与开腹胆囊切除术(opencholecystectomy,OC)的护理及卫生资源节约情况。方法回顾分析97例胆囊切除术病例,将其分成腹腔镜组和开腹组,比较两组住院日、术前住院日、术后住院日、术中出血量、手术时间、身体恢复时间、并发症等。结果腹腔镜组和开腹组住院日、术后住院日分别为(11.4±3.0)d和(15.±4.2)d(P<0.01)、(6.1±0.9)d和(10.7±2.4)d(P<0.01);腹腔镜组与开腹组术中出血量、手术时间相比差异有显著性(P<0.05),身体恢复时间相比差异有显著性(P<0.01)。结论LC卫生资源利用率较OC高,围手术期临床护理观察周期较短。

Objective To compare the clinical nursing and the health resources saving between the laparoscopic cholecystectomy （LC） and the open cholecystectomy （OC）. Methods Clinical data of 97 patients treated by either LC （n = 41 ） or OC （n = 56） were retrospectively reviewed.The hospital stay, preoperative hospital stay, postoperative hospital stay, intraoperative blood loss, operation time, recovery time, and incidence of complications were compared respectively. Results The hospital stay, postoperative hospital stay in group LC and group OC were （11.4±3.0） d and （ 15.1 ± 4.2） d （ P 〈 0.01 ）, （6.1 ± 0.9） d and （ 10.7 ± 2.4） d （ P 〈 0.01 ）. There were significant differences between the two groups in the intraoperative blood loss, operating time （ P 〈 0. 05 ） and recovery time （ P 〈 0. 01 ）.Conclusion As compared with group OC, health resources in group LC were more properly utilized and the perioperative cycle of the clinical nursing observation was shortened.