小儿腹腔镜2孔法与开腹手术切除阑尾的观察及护理

Observation on Therapeutic Effects and Nursing of Appendectomy by Laparotomy or Laparoscopy Through Two Small Holes of Incision in Children

目的探讨小儿腹腔镜2孔法与开腹手术切除阑尾的临床效果及护理。方法将95例阑尾炎患儿分为腹腔镜2孔法组与传统开腹组,对两组手术的时间、术中出血情况、术后恢复情况等进行统计学处理和对比分析。结果两组患者手术及恢复顺利,术后无并发症。比较两组手术时间及术中出血量差异均无统计学意义(P>0.05);术后腹腔镜2孔法组的肛门排气时间、下床活动时间、切口疼痛时间、术后输液天数、住院天数均低于开腹手术组,差异有统计学意义(P<0.05)。结论腹腔镜2孔法阑尾切除术安全、有效,减轻了患儿的痛苦,节省了护理时间,提高了护理工作的效率。

Objective To explore the nursing and therapeutic efficacy of appendectomy by laparotomy or laparoscopy through two small holes of incision in children. Methods Ninety-five children with appendicitis were divided into open appendectomy group and laparoscopic appendectomy group.The operation time,bleeding situation during operation and recovery situation after operation of the two groups were compared and analyzed. Results The operation and recovery of the patients in the two groups were successful and no complication occurred after the operation.No statistically significant difference was found in the duration of operation and bleeding quantity during operation between the two groups（P〈0.05）.The anal exsufflation time,the off-bed ambulation time,the duration of incisional pain,the days of transfusion and hospitalization of the patients in laparoscopic appendectomy group were significantly shorter than those in open appendectomy group（P〈0.05）,and the difference was statistically significant（P〈0.05）. Conclusions Appendectomy by laparoscopy through two small holes of incision in children is safe and effective.It saves the time of nursing and improves the efficiency of the nursing work.