摘要
目的对比阑尾切除术中使用常规开腹手术与腹腔镜手术的护理方法差异对比。方法回顾性分析我院2013年6月—2015年12月收治的阑尾炎切除患者108例作为研究对象,根据患者自愿的形式分为常规开腹手术组及腹腔镜手术组,各54例,对比两组患者术后的治疗效果及护理方法的差异。结果常规组与腹腔镜组两组患者的手术时间比较,差异无统计学意义,P>0.05;两组患者的平均住院时间及肛门平均排气时间比较,常规组长于腹腔镜组,差异有统计学意义,P<0.05;两组患者的并发症发生率及止痛药使用率对比,常规组高于腹腔镜组,差异有统计学意义,P<0.05。结论阑尾炎切除术中采用腹腔镜手术在实际操作过程中比常规开腹手术中创口小、出血少,肛门排气的平均时间及住院平均时间都要少,且在术后护理中比开腹手术有更低的感染率。
Objective Comparison of the differences of nursing methods between conventional and laparoscopic surgery in appendectomy. Methods A retrospective analysis of our hospital from June 2013 to December 2015 were appendicitis in 108 patients as the research object, according to the patient＇s voluntary form is divided into conventional laparotomy group and laparoscopic surgery group, 54 cases in each group, the treatment effect and nursing methods were compared between two groups after the difference. Results Comparing the operation time of conventional group and the laparoscopic group of patients in the two groups, the difference was not statistically significant,P〉0.05; compare the average hospitalization time and average anal exhaust time of patients in the two groups, the conventional group than in the laparoscopic group, the difference was statistically significant, P〈0.05; two groups of patients and the incidence rate of complication and analgesic use rate compared to conventional group than in the laparoscopic group, the difference was statistically significant, P〈0.05. Conclusion Appendectomy by laparoscopy in the actual operation process than conventional open surgery in small wound, less bleeding, the average time of anal exhaust and the average hospitalization time is less, and the postoperative care than laparotomy with lower infection rate.
出处
《中国继续医学教育》
2017年第10期236-237,共2页
China Continuing Medical Education
关键词
开腹手术
腹腔镜手术
阑尾炎
护理效果
open surgery
laparoscopic surgery
appendicitisscore
nursing effect
