摘要
目的探讨手术室细节护理干预对控制腔镜肾切除术肾肿瘤患者术后感染的效果。方法选取我院2015年6月～2016年8月收治的74例行腔镜肾切除术肾肿瘤患者作为研究对象,按照随机数字表法将为对照组和观察组,每组各47例。对照组采取常规护理,观察组在对照组的基础上使用手术室细节护理干预。观察两组术后恢复情况(术后下床活动时间及引流管留置、住院及进食、术后肛门排气时间等指标)及术后并发症(尿漏、尿性囊肿及下位肾功能缺失等)、感染的发生情况。结果观察组术后肛门排气及引流管留置时间、进食、下床活动和住院时间均短于对照组,差异均有统计学意义(P<0.05);观察组术后并发症发生率(5.40%)低于对照组(21.62%),观察组术后感染率(8.11%)低于对照组(27.03%),差异均有统计学意义(P<0.05)。结论手术室细节护理干预可有效地降低术后感染发生率,降低其并发症发生率,促进患者恢复。
Objective To explore the effect of detailed nursing intervention in operation room on controlling postopera- tive infection after endoscopic nephreetomy. Methods A total of 74 patients with renal tumors undergoing endoscopic nephreetomy from June 2015 to August 2016 were selected as the research subjects. According to random number table method, they were divided into the control group and the observation group, 47 cases in each group. The patients in the control group were treated with routine nursing, and the patients in the observation group were treated with detail nurs- ing intervention in on the basis of the control group. The postoperative recovery was observed and analyzed in the two groups （the time of ambulation, drainage tube indwelling, hospitalization and feeding, anus exhaust time after opera- tion） and postoperative complications （urinary leakage, urinary cyst and lower renal function loss, etc.）, and the inci- dence of infection. Results The patients in the observation group were shorter than the control group （P〈0.05）, and the incidence of postoperative complications （5.40%） in the observation group was lower than that of the control group （21.62%）, and the postoperative infection rate （8.11%） in the observation group was lower than that of the control group （27.03%）, the differences were statistically significant （P〈0.05）. Conclusion The detailed nursing intervention in the operation room can effectively reduce the incidence of postoperative infection, reduce the incidence of complica- tions and promote the recovery of patients with nephreetomy with endoscopic nephrectomy.
作者
陈满桂
CHEN Man-gui(Operation Room,People＇s Hospital of Linchuan District in Fuzhou City,Jiangxi Province,Fuzhou 344000,China)
出处
《中国当代医药》
2018年第27期186-188,共3页
China Modern Medicine
关键词
手术室细节护理
腔镜肾切除术
肾肿瘤
术后感染
效果分析
Detailed nursing in operation room
Endoscopic nephreetomy
Renal tumor
Postoperative infection
Effectanalysis
