摘要
目的观察比较采用腹腔镜与经腹手术治疗慢传输性便秘护理。方法将腹腔镜结肠次全切除术14例与开腹结肠次全切除术17例分为观察组和对照组,对两组的手术时间、切口长度、出血量、术后疼痛持续时间、肠道功能恢复时间、治疗效果、切口愈合、并发症发生的情况及平均住院日等方面进行观察分析。结果两组比较,手术时间、治疗效果差异无统计学意义(P>0.05),观察组平均切口长度、术中出血量、术后疼痛时间、肠道恢复时间均显著减少(P<0.05),切口一期愈合率显著提高(P<0.05)。结论腹腔镜结肠次全切除术,减轻了患者痛苦,术后恢复快,减少了护理工作量。加强腹腔镜术后的护理对患者术后恢复有明显促进作用。
Objective To compare clinical nursing care between laparoscopic and open subtotal colectomy for slow transit constipation. Methods The clinical data of 31 cases were randomly divided into two groups:observation group were treated with subtotal colectomy by laparoscope,control group were treated with subtotal colectomy by operation,capering the operation time,the length of operation nick,the amount of bleeding in operation,pain after operation,coincidnece time of the function of intestinal tract,curative effect, expense,complications,average hospitalization days between observation group and control group.Results There were no difference of the operation time,curative effect between two groups(P>0.05) but the length of operation nick,the amount of bleeding in operation, pain after operation,coincidnece time of the function of intestinal tract,rate of healing by first intention observation group is better than control group(P<0.05).Conclusion Laparo scopic subtotal colectomy for slow transit constipation is able to reduce pain of patients, quicker postoperative recovery,reduce the nursing working load.Should continuously tally up experience,make nursing theory and technical operations along with the synchronous exaltation of minimally invasive technique development.
出处
《中国现代医生》
2011年第2期50-51,80,共3页
China Modern Doctor
