经脐单孔腹腔镜手术联合耻骨上辅助的护理配合要点研究

Study on the nursing cooperation points of transumbilical single port laparoscopic surgery combined with suprapubic assist

目的探讨耻骨上辅助经脐单孔腹腔镜手术(SA-LESS)的护理配合要点。方法将262例施行SA-LESS的泌尿系疾病患者分为对照组和观察组,对照组进行常规的手术护理,观察组患者进行个体化的护理,比较分析两组患者平均手术时间、术后肛门排气时间、住院时间等临床指标及两组患者术后并发症发生情况,并总结术中护理配合方法和经验,规范腹腔镜手术护理配合的护理流程,加强细节管理,突出重点工作环节。结果观察组患者均顺利完成手术,且平均手术用时、术后肛门排气时间、住院时间及并发症发生率均较对照组有明显改善(P<0.05)。结论完善的手术室护理配合方案及护士娴熟的配合技术是SA-LESS手术顺利完成的有力保证。

Objective To explore the main points of nursing cooperation for suprapubic assisted single port laparoscopic surgery(SA-LESS).Methods A total of 262 patients with urinary tract disease who underwent SA-LESS were divided into the control group and the observation group.The control group underwent common surgical nursing,and the observation group underwent individual nursing.The average operation time and postoperative anus of the two groups were compared.Clinical indicators such as exhaust time and hospitalization time,as well as postoperative complications in the two groups Summarized the intraoperative nursing cooperation methods and experience,standardized the nursing process of laparoscopic surgery and nursing,strengthened detail management,and highlighted key work links.Results All the patients in the observation group successfully completed the operation.The average operation time,postoperative anal exhaust time,hospitalization time and complication rate were better compared with the control group(P<0.05).Conclusion The perfect operating room care cooperation program and the skilled training of nurses are the powerful guarantee for the successful completion of SA-LESS surgery.