双孔腹腔镜阑尾炎周围脓肿手术的围术期护理干预

Perioperative nursing intervention in double hole laparoscopic surgery for appendicitis peripheral abscess

目的探讨双孔腹腔镜阑尾炎周围脓肿手术的围术期护理干预效果。方法 30例阑尾炎周围脓肿手术患者依据CO2气压不同进行临床分组,分为对照组和研究组,各15例。两组阑尾炎周围脓肿患者均给予常规的护理措施,对照组将气腹的压力设定在13~15 mm Hg（1mm Hg=0.133 k Pa）之间,注意保证患者气腹的压力恒定。研究组气腹的压力设定在8~12 mm Hg之间,保证患者气腹压力处于恒定状态。对比两组临床效果。结果研究组临床治疗总有效率明显高于对照组,并发症发生率明显低于对照组,差异均有统计学意义（P〈0.05）。结论双孔腹腔镜阑尾炎周围脓肿手术的围术期护理干预可以明显提高临床疗效,降低并发症的发生,值得临床推广应用。

Objective To investigate the perioperative nursing intervention effect in double hole laparoscopic surgery for appendicitis peripheral abscess. Methods A total of 30 patients with appendicitis peripheral abscess were divided by different CO2 pressure into control group and research group, and each group contained 15 cases. Both groups received conventional nursing measures for appendicitis peripheral abscess. The control group had pneumoperitoneum pressure as constant 13-15 mm Hg （1mm Hg=0.133 kPa）, and that of the research group was 8-12 mm Hg. Clinical effects were compared between the two groups. Results The research group had much higher total effective rate than the control group, and its incidence of complications was lower than the control group. Their differences all had statistical significance （P〈0.05）. Conclusion Double hole laparoscopic surgery for appendicitis peripheral abscess can remarkably improve curative effect and reduce complications in perioperative nursing intervention. This method is worth clinical promotion and application.