简介:【 摘要 】 目的 分析综合护理措施对肝硬化食管静脉曲张套扎术( EVL )患者治疗及预后的影响。 方法 选取我院自 2019 年 5 月 ~2020 年 5 月收治的 110 例肝硬化食管静脉曲张套扎术患者,根据护理方式的不同分为观察组( 55 例)与对照组( 55 例)。对照组患者行常规护理,观察组患者行综合护理。对比两组患者护理后的治疗效果、不良事件发生率以及患者对护理满意度。 结果 观察组患者临床疗效显著高于对照组,差异较大,( P < 0.05 ),有统计学意义;观察组患者不良事件发生率显著低于对照组,差异较大,( P < 0.05 ),有统计学意义;观察组患者对护理满意度显著高于对照组,差异较大,( P < 0.05 ),有统计学意义。 结论 综合护理对肝硬化 EVL 患者进行护理能显著提高对患者临床疗效,提高对患者护理的安全性,提高患者对护理满意度,对患者的临床治疗具有积极的作用,值得广泛推广使用。
简介: 【摘 要】目的:分析胃肠镜检查术应用依托咪酯复合丙泊酚静脉麻醉的效果。方法:本次研究对象为本院在 2018年 7月 -2019年 7月间接受胃肠镜检查的患者,共 90例,根据住院顺序等分成 A组和 B组, A组实施依托咪酯麻醉, B组实施依托咪酯联合丙泊酚麻醉,对 2组患者体动、肌痉挛及检查时间、清醒时间、术中依托咪酯用量进行比较。结果: B组体动、肌痉挛的发生率低于 A组 ;检查与清醒时间相比, 2组无差异( P>0.05),依托咪酯用量相比, B组明显低于 A组( P<0.05)。结论:胃肠镜检查术中运用依托咪酯复合丙泊酚静脉麻醉,有着显著安全性,可以使体动、肌痉挛等不良反应的发生率有效减少,减少依托咪酯的用量,从而确保手术的顺利开展。 【关键词】依托咪酯 ;丙泊酚 ;麻醉 ;胃肠镜检查术 ;分析 Objective: to analyze the effect of intravenous anesthesia with etomidate combined with propofol in gastroenteroscopy. Methods: 90 patients who underwent gastroenteroscopy in our hospital from July 2018 to July 2019 were divided into group A and group B according to the order of hospitalization. Group A was given etomidate anesthesia, and group B was given etomidate combined with propofol anesthesia. The body movement, muscle spasm, examination time, awake time and intraoperative etomidate dosage were compared between the two groups. Results: the incidence of body movement and muscle spasm in group B was lower than that in group A; there was no difference between the two groups in terms of examination and awake time (P > 0.05), and the dosage of etomidate in group B was significantly lower than that in group A (P < 0.05). Conclusion: the application of etomidate combined with propofol intravenous anesthesia in gastroenteroscopy has significant safety, which can effectively reduce the incidence of body movement, muscle spasm and other adverse reactions, reduce the dosage of etomidate, so as to ensure the smooth operation.
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 分析在纵隔肿瘤的胸腔镜治疗中,应用自主呼吸静脉麻醉与常规双腔气管插管静脉吸入复合麻醉的应用效果。方法 选取我院于 2018年 12月 ~2019年收支的纵隔良性肿瘤患者进行分析,随机分为 2组。给予对照组患者常规双腔气管插管静脉吸入复合麻醉方式下进行胸腔镜手术,切除纵隔肿瘤。观察组则应用自主呼吸静脉麻醉方式。对比两组患者的围术期指标。结果 观察组患者的围术期指标明显优于对照组患者,差异具有统计学意义( P<0.05)。结论 在纵隔肿瘤的胸腔镜治疗中应用自主呼吸静脉麻醉,能减少麻醉插管时间,促进患者的恢复,值得推广应用。
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。