妇科腹腔镜手术护理体会

目的:总结我院腹腔镜妇科手术的护理经验。方法:选择腹腔镜妇科手术43例,对术前准备、气腹压及充气速度控制,术后并发症的预防等方面进行回顾分析。结果:本组术者操作方便,整个手术过程HR、SBP、DBP、SpO2和PETCO2与术前比较,差异无显著性(P>0.05)但PIP气腹后明显升高(P<0.01)。术后并发症少。结论:充分的术前准备,良好的呼吸道管理,气腹压安全管理,严密的术中监测,积极的预防术后并发症是此类手术成功的关键。

Objective： To summarize the experience of nursing for laparoscopic gynecology operation. Methods： 43 cases of gynecological laparoscopic operation, preoperative preparation, intra-abdominal pressure and pneumatic speed control, prevention of postoperative compli- cations were reviewed. Results： in this group of patients has the advantages of convenient operation, the entire operation process of HR, SBP, DBP, Sp02 and PETC02 compared with those before operation, no significant difference （ P〉0.05 ）, but PIP after pneumoperitoneum （ P〈0.01 ） increased significantly. Less postoperative complications. Conclusion： full preoperative preparation, good management of respiratory traci~ pneumoperitoneum pressure safety management, close intraoperative monitoring, active prevention of complications after operation is the key to success.