护理风险管理在腹腔镜手术中的作用

Effect of nursing risk management in laparoscopic surgery

[目的]探讨护理风险管理在腹腔镜手术中的作用。[方法]将采用腹腔镜手术治疗的138例病人分为观察组和对照组各69例,对照组病人采用常规护理,观察组病人在常规护理的基础上采用风险管理,观察两组病人的气肿、气压不足、电灼伤、体位伤、手术时间、术中出血量及术后感染情况。[结果]观察组病人气肿、体位伤发生率低于对照组(P<0.05);观察组手术时间短于对照组、术后感染发生率低于对照组(P均<0.05)。[结论]通过护理风险管理对腹腔镜手术中可能出现的各类意外伤进行全面的分析,并针对性地提出防范措施,可有效减少手术意外伤、提高手术效果。

Objective To probe into the effect of nursing risk management in laparoscopic surgery. Methods：A total of 138 cases of patients receiving laparoscopic surgery were divided into observation group and control group,69 cases in each. Patients in control group used routine care,patients in observation group used risk management, then to observe the emphyse ma, insufficient air pressure, electrical burns, postural injuries, operative time, blood loss and postoperative infection. Results.the incidence of em physema and orthostatic injury in patients in observation group,was lower than that in control group （P〈0. 05） ;operative time in observation group was shorter than that in control group, the incidence of postoperative infec tion was lower than that in control group （P〈0. 05）. Conclusion：It can ef fectively reduce surgical accidental injuries and improve surgical effect to analyze the various accidental injuries that may occur in laparoscopic sur gery comprehensively and then to put forward targeted preventive meas ures.