循证护理在腹腔镜胆囊阑尾联合切除围术期效果观察

摘要

目的：探讨循证护理在腹腔镜胆囊阑尾联合切除围术期效果情况。方法方便选取并分析河源市龙川县人民医院普外科2014年1月-2015年2月诊治的400例腹腔镜胆囊阑尾联合切除术患者临床资料,依据是否实施循证护理进行分组,对照组(实施常规护理措施组)200例和循证护理组(实施循证护理措施组)200例。观察两组腹腔镜胆囊阑尾联合切除术患者术后疼痛持续时间情况、术后出血、胆汁漏、肩背部酸痛、残端瘘发生率情况。结果循证护理组腹腔镜胆囊阑尾联合切除术患者术后疼痛持续时间<12 h、术后疼痛持续时间12~24 h、术后疼痛持续时间>24 h评分均低于对照组,循证护理组术后出血、胆汁漏、肩背部酸痛、残端瘘发生率均低于对照组,P<0.05,差异均有统计学意义。结论循证护理在腹腔镜胆囊阑尾联合切除围术期应用,可以明显降低术后疼痛持续时间和并发症,值得临床推广应用。%Objective To approach result of laparoscope gallbladder appendix combined resection in the perioperative peri-od by evidence-based nursing. Methods Convenient selection 400 cases clinical data of laparoscope gallbladder appendix combined resection patients in general surgery department people hospital of Heyuan city Longchuan town from January 2014 February 2015 were analyzed,which was to be divided into two groups,control group (conventional nursing measures group)200 cases and evidence-based nursing group (evidence-based nursing measures group)200 cases.The pain duration time after operation、bleeding after operation、bile leakage、humeral back ache、stump fistula rate of two groups laparoscope gallbladder appendix combined resection patients were detection. Results The pain duration time after operation<12 h、pain duration time after operation12~24 h、pain duration time after operation>24 h score of evidence-based nursing group la-paroscope gallbladder appendix combined resection patients were lower than control group,the bleeding after operation、bile leakage、humeral back ache、stump fistula rate of evidence-based nursing group laparoscope gallbladder appendix combined resection patients were lower than control group,P<0.05,the difference were statistical significance. Conclusion The appli-cation of laparoscope gallbladder appendix combined resection in the perioperative period by evidence-based nursing,which could decrease pain duration time after operation and complication,it is worth to be used.