简介:【摘要】目的:研究分析腹腔镜胆囊切除手术护理方法及术中护理体会。方法:此次研究的对象是选择 2017年 2月~ 2020年 2月我院进行腹腔镜胆囊切除手术的患者 100例,将其临床资料进行回顾性分析,并随机分为对照组和观察组,对照组 50例患者采取常规护理模式;观察组 50例患者采取综合护理模式,比较两组患者对护理的满意度以及医生对术中配合的满意度。结果:两组患者对护理的满意度以及医生对术中配合的满意度都明显高于对照组( P<0.05)。结论:腹腔镜手术的成功与否,关键和器械护理人员的术中配合有关,术中护理人员配合得当,可以保证手术操作过程中顺利进行,并在一定程度上缩短手术所用的时间,减轻病人的痛苦,提高手术的效果。 【关键词】腹腔镜、胆囊切除手术、术中护理、心理护理 [Abstract] Objective: To study and analyze the nursing methods and experience of laparoscopic cholecystectomy. Methods: 100 patients who underwent laparoscopic cholecystectomy in our hospital from February 2017 to February 2020 were selected for this study, and their clinical data were analyzed retrospectively. They were randomly divided into control group and observation group. 50 patients in the control group adopted routine nursing mode; 50 patients in the observation group adopted comprehensive nursing mode to compare the satisfaction of patients in the two groups and doctors Satisfaction with intraoperative cooperation. Results: the satisfaction of patients and doctors in the two groups was significantly higher than that in the control group (P < 0.05). Conclusion: the key to the success of laparoscopic surgery is the cooperation of the equipment nurses during the operation. The proper cooperation of the nurses during the operation can ensure the smooth operation, shorten the operation time to a certain extent, reduce the patients' pain and improve the effect of the operation.
简介: 【摘 要】目的:研究小切口阑尾炎切除术治疗阑尾炎的临床疗效。方法:选取 2018年 12月 -2020年 1月 70例阑尾炎患者作为研究对象,抽取 35例作为观察组,另根据配对原则抽取 35例作为对照组。对照组采用传统切口阑尾切除术,观察组采用小切口阑尾炎切除术。对比手术时间、术中出血量及术后并发症发生率。结果:观察组手术时间短于对照组,术中出血量及术后并发症发生率少于对照组,对比差异有统计学意义( P<0.05)。结论:小切口阑尾炎切除术治疗阑尾炎具有显著效果,可缩短治疗时间,减少术中出血及术后并发症对患者造成的影响,值得临床推广。 【关键词】小切口阑尾炎切除术;阑尾炎;并发症 Objective: To study the clinical effect of small incision appendectomy in the treatment of appendicitis. Methods: 70 cases of appendicitis patients from December 2018 to January 2020 were selected as the research object, 35 cases were selected as the observation group, and 35 cases were selected as the control group according to the matching principle. The control group was treated with traditional incision appendectomy, and the observation group was treated with small incision appendectomy. The operation time, intraoperative blood loss and postoperative complications were compared. Results: the operation time of the observation group was shorter than that of the control group, the intraoperative blood loss and the incidence of postoperative complications were less than those of the control group, the difference was statistically significant (P < 0.05). Conclusion: small incision appendectomy in the treatment of appendicitis has a significant effect, can shorten the treatment time, reduce intraoperative bleeding and postoperative complications on patients, which is worthy of clinical promotion.
简介:【摘要】目的 探讨快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果。方法 选取 2019年 1月 ~2020年 3月在我院进行腹腔镜胆囊切除术的患者 150例进行研究分析,根据随机分配的原则将 150例患者分为观察组和对照组,每组各 75例。对照组患者采用常规护理的方式对患者进行护理,观察组则采用快速康复外科护理对腹腔镜胆囊切除术围手术期患者进行护理。通过对比两组患者的生活水平及护理满意度进行评判,判断快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果。结果 观察组患者的生活水平高于对照组患者,观察组患者的护理满意度高于对照组患者,差异显著( p ),有统计学意义。结论 通过对比两组患者的研究数据,证明快速康复外科护理在腹腔镜胆囊切除术围手术期患者中的应用效果良好,能够有效的减少患者的并发症发生率,提升医院的治疗效率,提升护理人员的护理质量,促进护患关系的和谐发展,具有很高的临床学价值,值得临床推广使用。
简介: 摘要:目的 分析 T1期陰茎癌行保留龟头的肿瘤切除术加腹腔镜腹股沟淋巴结清扫术对患者疗效及性功能的影响。方法 回顾性分析我院自 2017年 1月~ 2019年 6月收治的 8例行保留龟头的阴茎肿瘤切除术(保留龟头组)与 10例行阴茎部分切除术(部分切除组)的 T1期阴茎癌患者临床资料,术后随访了解其局部及远处复发情况,采用国际勃起功能指数问卷(Ⅱ EF-5)、性满意指数( ISS)问卷分别在术后 6个月评估患者的勃起功能和性满意度,对数据进行统计学分析。结果随访 6月~ 5年, 1例保留龟头患者出现原发肿瘤复发,其余患者均未见肿瘤复发及转移。术后 6个月,保留龟头组的患者Ⅱ EF-5评分为( 24.48±1.89)分,与术前的( 24.53±2.41)分比较,差异无统计学意义( P>0.05),但高于阴茎部分切除组患者的( 21.59±3.26)分,差异有统计学意义( P<0.05) ;保留龟头组的 ISS评分为( 36.38±16.11)分,与术前的( 38.27±14.38)分比较,差异无统计学意义( P>0.05),但低于阴茎部分切除组患者的( 57.63±15.63)分,差异有统计学意义( P<0.05)。结论 对于 T1期的阴茎癌患者,保留龟头的手术加上腹腔镜腹股沟淋巴结清扫术安全有效,并可使患者维持更好的性功能和满意度。 关键词:阴茎癌 ;保留龟头 ;腹股沟淋巴结清扫 ;性功能
简介: 【摘要】 目的 研究分析措施对高血压合并混合痔患者行手术切除的术中护理配合方法与临床效果。方法 此次研究的对象是选择2017年6月到2019年6月我院收治的高血压合并混合痔病例中随机选取36例,其中男性有19例,女性有17例,将其临床资料进行回顾性分析。在对患者进行腰硬联合麻醉诱导操作后行手术切除手术,在术中给予患者镇痛泵护理、心理干预、静脉通道开通、病情观察以及仰卧位管理等护理配合措施,并对患者的临床疗效进行系统性研究。结果 患者的临床疗效较好,高血压并发症的发生率降低。结论 在高血压合并混合痔患者行手术切除的过程中给予护理配合措施,有助于降低手术并发症的发生率,提升手术的安全性能。
简介:【摘要】目的 分析在结直肠癌患者出现不可切除的肝转移瘤治疗当中,实施精准序贯介入治疗的效果。方法 选择我院 2018年 1月~ 2019年 6月收治的 38例结直肠癌且出现不可切除肝转移瘤患者进行分析,将其均匀分成对照组( 19例)和观察组( 19例),对照组接受常规化疗治疗,给予观察组对象精准序贯介入治疗,对两组对象的治疗效果进行分析。结果 观察组对象的整体疗效要好于对照组,且数据进行分析后存在统计学差异( P<0.05)。结论 对于出现不可切除肝转移瘤的结直肠癌患者,让其术后接受精准序贯介入治疗的效果较好,值得实施。 【关键词】结直肠癌 ;肝转移瘤 ;精准序贯介入 ;效果 ;化疗 [Abstract] Objective To analyze the effect of precise sequential interventional therapy in the treatment of unresectable liver metastases in patients with colorectal cancer. Methods 38 cases of colorectal cancer patients with unresectable liver metastases in our hospital from January 2018 to June 2019 were selected for analysis, and they were evenly divided into control group (19 cases) and observation group (19 cases). The control group received conventional chemotherapy, and the observation group received precise sequential interventional therapy. The treatment effects of the two groups were analyzed. Results the overall curative effect of the observation group was better than that of the control group, and there was statistical difference after data analysis (P < 0.05). Conclusion for colorectal cancer patients with unresectable liver metastases, the effect of precise sequential interventional therapy after operation is better, which is worthy of implementation.
简介:【摘要】目的 探讨甲状腺手术患者,围术期手术护理干预效果。方法 选取我院 2018年 3月 -2019年 3月收治的 64例甲状腺手术患者,按入院时间将其分为两组,每组 32例。对照组实施常规护理,实验组实施围术期手术护理干预,对比两组的并发症发生情况及护理满意度。结果 实验组的并发症发生率 18.75%,较对照组( 46.88%)显著降低,对照组的护理满意度( 81.25%)显著低于实验组( 96.88%),两组数据差异均具统计学意义( P< 0.05)。结论 对甲状腺手术患者在围术期实施手术护理干预,能够降低发生并发症几率,同时提升患者满意度,具有临床推广价值。