腹腔镜辅助与开腹行远端胃癌D2根治术的护理对照

Nursing Comparsion between Laparoscopic Assist and Gastrc Cancer DJ Radical Operation

目的从护理的角度探讨腹腔镜辅助远端胃癌D2根治术与传统开腹远端胃癌D2根治术的优劣。方法我科于2006年11月～2007年9月将同期救治的远端胃癌需手术治疗病人随机分为腹腔镜组和开腹组,对两组手术病人术后的直接护理时间、下床活动时间、肛门排气时间、胃管拔除时间、进食流质时间、术后住院天数以及术后并发症发生率和术后疼痛药物的使用进行对比分析。结果腹腔镜组每天所需的直接护理时间和术后住院天数明显比开腹组少;腹腔镜组下床活动时间、肛门排气时间、胃管拔除时间以及进食时间少于开腹组;术后腹腔镜组运用止痛药物的例数比开腹组少;腹腔镜组术后并发症发生率低于开腹组。结论腹腔镜辅助远端胃癌D2根治术与传统开腹远端胃癌D2根治术相比较,减轻了病人的痛苦,术后恢复快,并发症少,减少了护理工作量,值得临床推广应用。

Objective To investigate from the angle of Nursing laparoscopic assisted distal gastric cancer D2 radical operation with the traditional open distal gastric cancer D2 radical operation merits. Methods I Division in November 2006 to September 2007 will he the same period in the treatment of distal gastric cancer patients need surgical treatment were randomly divided into open and laparoscopic group group, the two groups of patients after surgery direct care time, get out of bed activities time, anus exhaust time, gastric tube extraction time, the consumption of liquid time, postoperative hospital stay and the incidence of postoperative complications and postoperative pain drug use were analyzed. Results The laparoscopic group for the direct care of the daily time and postoperative hospital stay significantly less than the laparotomy group; laparoscopic group get out of bed activities, anus exhaust time, extraction time and gastric tube feeding time of less than laparotomy group ; postoperative analgesic drug use laparoscopic group of a few cases of less than laparotomy group; laparoscopic group postoperative complication rate lower than the laparotomy group. Conclusion Laparoscopic-assisted distal gastric cancer D2 radical operation with the traditional open distal gastric cancer D2 radical operation, compared to alleviate the suffering of the patients, postoperative recovery faster, fewer complications, reduced nursing workload, it is worth clinical application.