腹腔镜下卵巢肿瘤剔除术的手术护理配合效果观察

Efficacy of coordination of the surgical team in patients undergoing laparoscopic ovarian tumor removal

目的 探讨腹腔镜下卵巢肿瘤剔除术的手术护理配合对手术相关指标的影响。方法 选取2020年12月至2021年12月间陕西省核工业二一五医院收治的65例腹腔镜下卵巢肿瘤剔除术患者,采用入院奇偶顺序分为观察组33例和对照组32例,对照组患者采用常规手术室护理,观察组患者在对照组基础上采用综合手术室护理,比较两组患者的手术指标和不良反应情况。结果 观察组患者手术时间、自主呼吸恢复时间、睁眼时间、指令恢复时间和拔管时间均短于对照组,差异均有统计学意义(均P<0.05)。观察组患者不良反应总发生率为3.0%,低于对照组的25.0%,差异有统计学意义(P<0.05)。结论 腹腔镜下卵巢肿瘤剔除术期间采用综合手术室护理,可有效缩短手术时间,加快患者意识、呼吸恢复,降低低体温等不良反应发生率,提高手术室护理安全性,值得推广。

Objective To analyze the effect of coordination of the surgical team on indexes related to operation in patients undergoing laparoscopic ovarian tumor removal. Methods Sixty-five patients undergoing laparoscopic ovarian tumorectomy were selected at Shaanxi Nuclear Industry 215 Hospital from December 2020 to December 2021. They were divided into an observation group(33 patients) and a control group(32 patients) based on the odd and even admission sequence. The observation group received comprehensive operating room nursing besides conventional nursing and the control group received routine operating room care. Surgical indicators and the overall incidence of adverse events were compared between the two groups. Results The duration of operation, time to recovery of spontaneous breathing, time to eye opening, time to recovery of command and time to extubation were shorter in the observation group than in the control group, and the overall incidence of adverse events was 3.0% in the observation group which was lower than 25.0% of the control group(P<0.05). Conclusion Comprehensive operating room nursing during laparoscopic ovarian tumor removal can effectively shorten the duration of operation, speed up the recovery of consciousness and breathing, reduce the incidence of adverse events such as hypothermia, and improve the safety of operating room nursing, which is worthy of promotion.