腹腔镜前列腺癌根治术的临床疗效及围术期护理

Clinical Efficacy of Laparoscopic Radical Prostatectomy and Perioperative Nursing Care

【目的】探讨腹腔镜前列腺癌根治术的临床疗效及围术期护理措施。【方法】将126例前列腺癌患者随机分为腹腔镜组（n=66）与开腹手术组（n=60），给予腹腔镜组患者肠道准备、心理护理、预防并发症、引流管护理、饮食及活动指导，给予开腹手术组常规护理，比较两组患者的手术效果，总结围手术期护理经验。【结果】腹腔镜组术中出血量[（469．50士65．30）mLvs（560．94±76．59）mL]、术后胃肠功能恢复时间[（27．40士6．21）hVS（5．83土7．94）h）]；住院时间分别为[（11．28±1．56）dvs（5．09±2．10）d]，均显著少于开腹手术组（均P〈0．05）；腹腔镜组并发症发生率显著少于开腹手术组（13．6％vs31．7％，P〈0．05）。【结论】腹腔镜手术及围术期系统的护理可促进前列腺癌根治术患者术后康复，减少并发症，改善患者预后。

[Objective] To explore the clinical effect of laparoseopic radical prostatectomy and penoperatlve nursing care. [Methods] A total of 126 patients with prostate cancer were randomly divided into Laparoscopy group（n=66） and ]aparotomy group （ n = 60）. Laparoseopy group received bowel preparation, psychological nursing, the prevention of complication, catheter nursing, diet and activity guidance. Laparotomy group was given routine nursing care, The operative effect was compared between two groups. The experience of perioperative nursing care was summarized. [Results] In laparoscopy and laparotomy group, intraoperative blood loss was 469.50 ± 65.30 and 560.94 ± 76.59mL, and gastrointestinal function recovery time after operation was 27.40±6.21 and 35.83±7.94h, and hospital stay was 11.28±1.56d and 15.09±2.10d, respectively.Intraoperative blood loss, gastrointestinal function recovery time after operation and hospital stay in laparosco- py group were significantly less than those in laparotomy group（ P 〈0.05）. The incidence of complications in laparoscopy group was significantly less than that in laparotomy group（13.6% vs 31.7%, P 〈0. 05）. [Conclusion]Laparoscopic surgery and perioperative nursing care can promote the postoperative recovery, reducecomplications and improve the prognosis of patients undergoing radical prostatectomy.