老年腹腔镜胆囊切除术围术期护理对策探析

Perioperative nursing countermeasures of elderly patients with laparoscopic cholecystectomy

目的探析老年腹腔镜胆囊切除术的围术期护理方法及效果。方法择期2013年11月至2014年11月在我院接受腹腔镜胆囊切除术的老年患者70例,回顾性分析其临床资料,探究围手术期护理方法及护理效果。结果 70例患者中有65例顺利完成腹腔镜胆囊切除术,其他5例因术中大量出血而行中转开腹手术,术后有4例患者发生恶心、呕吐,2例发生切口液化,1例发生肺部感染,经对症治疗及精心护理干预后,患者均痊愈出院。结论腹腔镜胆囊切除术安全,有效,对其进行围手术期护理能提高治疗效果,减少并发症,促进患者的恢复。

Objective To study the aged patients undergoing laparoscopic cholecystectomy perioperative nursing methods and effects of operation period .Methods 70 elderly patients with laparoscopic cholecystectomy patients undergoing elective in 2013 November -2014 year in November in our hospital , the clinical data were retrospectively analyzed , to explore the perioperative nursing methods and the nursing effect of operation period . Results In 70 cases, 65 cases were successfully completed with laparoscopic cholecystectomy , the other 5 cases with massive bleeding due to conversion to open operation , 4 cases of postoperative patients with nausea , vomiting, 2 case of incision liquefaction , 1 case with pulmonary infection , symptomatic treatment and nursing intervention, the patients were cured and discharged .Conclusions Laparoscopic cholecystectomy is safe , effective, and can improve the therapeutic effect carry on the peri-operation nursing, reduce complications, and promote the recovery of patients .