腹腔镜胆囊切除术围术期的临床护理

Clinical nursing on laparoscopic cholecystectomy in perioperation

目的:对腹腔镜胆囊切除术的围术期护理进行探讨。方法:选取本院2009年10月～2010年10月,接诊的100例实行腹腔镜胆囊切除术的患者进行探讨和分析,包括术前的心理护理以及其他准备工作和术后的疼痛、饮食以及术后并发症等方面的护理。结果:经过医护人员的精心护理,100例接受腹腔镜胆囊切除术的患者全部康复出院。治疗患者中有5例患者发生伤口感染及其他并发症,同时有3例患者由于腹膜炎严重,术后腹胀,经治疗4d内全部消失。对照组8例出现不同程度的恶心、呕吐等症状,术后胆汁漏l例,出血1例,无胆管损伤,无术后皮下气肿,对症治疗后,全组均痊愈出院。结论:在围术期前后进行有效护理,是确保手术顺利进行的一个重要保证。

Objective：Laparoscopic cholecystectomy on perioperative care measures are discussed.Methods：Select from October 2009,accepts 100 cases implemented the patients laparoscopic cholecystectomy perioperative clinical nursing measures,including preoperative psychological nursing and other preparations and postoperative pain,diet and postoperative complications,etc.Results：Through the careful nursing staff,patients without a wound infection and other obvious complications,patients were recovered from the hospital.Conclusion：Perioperative care and effectively nursing is the important guarantee to the operation.