综合护理在非结石性急性胆囊炎腹腔镜胆囊切除术患者围术期的应用效果
[摘要]目的 探讨非结石性急性胆囊炎（ACC）腹腔镜胆囊切除术（LC）患者围术期综合护理的应用效果。方法 选取我院2018年1～12月收治的168例ACC LC患者作为研究对象，按照随机数字表法分为对照组（84例）和观察组（84例）。对照组采用基础护理方法，观察组采用围术期综合护理方法，比较两组住院时间、排气持续时间、排气开始时间、术中出血量、手术时间、护理总满意度、病死率及并发症总发生率指标。结果 护理后，观察组住院时间、排气开始时间、手术时间短于对照组，术中出血量少于对照组，病死率及并发症总发生率低于对照组，差异有统计学意义（P<0.05）。观察组排气持续时间长于对照组，护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 围术期综合护理方法可有效改善ACC LC患者预后，值得临床推广应用。
[关键词]腹腔镜胆囊切除术；围术期；非结石性急性胆囊炎；综合护理
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2019）4（a）-0243-03
[Abstract] Objective To investigate the effect of perioperative comprehensive nursing in patients with non-calculus acute cholecystitis （ACC） undergoing laparoscopic cholecystectomy （LC）. Methods A total of 168 patients with ACC who underwent LC from January to December 2018 were eolled in the study. The patients were divided into the control group and the observation group according to random number table method， 84 cases in each group. The control group was adopted the basic nursing method， and the observation group was used the perioperative comprehensive nursing method， the length of hospital stay， duration of exhaust gas， duration of exhaust gas， operation time， intraoperative blood loss， nursing satisfaction rate， the mortality rate and the total incidence of complications between two groups were compared. Results After nursing， the length of hospital stay， exhaust start time， operation time were shorter in the observation group than that in the control group， intraoperati...
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