摘要
【目的】探讨腹腔镜切除结直肠癌围手术期的护理方法。【方法】对我院648例腹腔镜结直肠癌根治术和236例传统开腹根治术患者的临床护理资料进行回顾性分析。【结果】648例患者通过应用腹腔镜手术治疗,并实施科学的护理,与传统开腹组相比术后切口疼痛程度轻,出血量少,下床活动时间及住院时间显著缩短(P<0.01),大便失禁等并发症明显减少(P<0.05)。【结论】腹腔镜手术切除结直肠癌具有术后痛苦少,恢复快,并发症少等优点,加强围手术期心理护理,术前充分的肠道准备,术后密切观察并及时处理并发症,给予肛门括约肌功能锻炼,是手术成功、病人顺利恢复的重要保证。
[ Objective ] To explore the perioperative nursing care methods of laparoscopic resection of colorectal carcinoma. [Methods] We retrospectively analyzed the clinical nursing of 648 patients who received laparoscopic resection and 236 patients with conventional laparotomy of colorectal carcinoma in our hospital. [ Results ] The 648 patients recovered successfully after laparoscopic operative therapy and scientific nursing. Compared with the laparotomy group, there were significant differences in the alleviated postoperative pains of wound, the reduced amount of bleeding, the shorted time of off-bed activity and hospitalization in the laparoscopy group （P 〈 0.01 ）. The incidence of complications obviously decreased （P 〈 0.05）. [Conclusion] The laparoscopic resection of colorectal carcinoma has the advantages of less pain, faster recovery and less complications. The success of treatment are guaranteed by the promotion of the perioperative psychological nursing, sufficient intestinal preparation before operation, close postoperative observation, timely management of complications and strengthening the exercise of anal sphincter.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2009年第A03期202-204,207,共4页
Journal of Sun Yat-Sen University:Medical Sciences
基金
佛山市卫生局医学科研基金资助项目(2005141)
关键词
腹腔镜
结直肠癌
护理
laparoscope
colorectal carcinoma
nursing
