腹腔镜下乙状结肠癌根治术的配合
开篇：润墨网以专业的文秘视角，为您筛选了一篇腹腔镜下乙状结肠癌根治术的配合范文，如需获取更多写作素材，在线客服老师一对一协助。欢迎您的阅读与分享！
[摘要] 目的 探讨腹腔镜下乙状结肠癌根治术的护理配合疗效。 方法 选取本院2008年2月～2012年3月实行腹腔镜下乙状结肠癌根治术的患者30例，随机分为两组，采用常规护理患者15例为对照组，采用护理干预患者15例为观察组，比较两组患者的护理配合疗效及并发症情况。 结果 观察组手术时间、术中出血量均明显小于对照组，差异均有统计学意义（P < 0.05）。观察组术后排气时间、术后24 h引流量、住院时间均小于对照组，观察组术后并发症发生率低于对照组，差异均无统计学意义（P > 0.05）。 结论 有效的护理配合在腹腔镜下乙状结肠癌根治术治疗过程中起着关键作用，可以缩短手术时间，减少患者的术中出血量，降低并发症的发生率，有助于患者的早日康复，值得临床推广使用。
[关键词] 腹腔镜；乙状结肠癌根治术；护理配合；疗效
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674—4721（2012）09（c）—0127—02
Nursing in sigmoid colon cancer radical resection by laparoscopic
TAN Hao
Department of Surgery， South Hospital of Yuehua Hospital in Hunan Province， Yueyang 414000， China
[Abstract] Objective To investigate the nursing effect in sigmoid colon cancer radical resection by laparoscopic. Methods Thirty patients who accepted sigmoid colon cancer radical resection by laparoscopic were selected in our hospital from February 2008 to March 2012， who were divided into two groups randomly. 15 patients used conventional care as control group. 15 patients used nursing intervention as observation group. Nursing efficacy and complications were compared between two groups. Results The operation time， bleeding volume in operation in observation group were significantly smaller than those in control group， while the difference was statistically significant （P < 0.05）. The postoperative exhaust time， 24 h postoperative drainage， length of hospital stay in observation group were significantly smaller than those in control group， while the postoperative complication rate in observation group was lower than that in control group. There were no significant differences between them （P > 0.05）. Conclusion Effective nursing in sigmoid colon cancer radical resection therapy by laparoscopic plays a key role in the process， which can shorten the operation time and reduce the amount of intraoperative bleeding of patients. That can also reduce the incidence rate of complication， which is contribute to the early recovery of the patient.That is worthy of clinical use.
[Key words] Laparoscopic； Sigmoid colon cancer radical resection； Nursing care； Effect
结肠癌是一种临床较为常见的消化道恶性肿瘤，发病率较高，为10/10万～40/10万，多数为40岁以上患者，近年来发病率呈现出升高趋势[1—3]。随着腹腔镜技术的开展，腹腔镜下乙状结肠癌根治术逐渐应用于临床，效果显著[4—6]。为了探讨腹腔镜下乙状结肠癌根治术的护理配合疗效，本次选取实行腹腔镜下乙状结肠癌根治术的30例患者采用不同的护理干预方法进行对比研究，现报道如下：
1 资料与方法
1.1 一般资料
选取本院2008年2月～2012年3月实行腹腔镜下乙状结肠癌根治术的患者30例，年龄37～64岁，平均（48.2±10.6）岁，其中，男17例，女13例。患者均经纤维电子肠镜及病理确诊为乙状结肠癌。将患者随机分为两组，采用常规护理的15例患者为对照组，采用护理干预的15例患者为观察组。两组患者间一般资料（性别、年龄等）比较差异均无统计学意义（P > 0.05），具有可比性。