综合护理措施对妇科腹腔镜手术患者术后并发症的影响分析

摘要

Objective To evaluate the integrated care measures gynecologic laparoscopic surgery in patients with preventive effect on postoperative complications.Methods A total of 90 laparoscopic surgery patients in our hospital were randomly divided into observation group and control group,with 45 cases per group.Observation group received comprehensive care and control group received conventional nursing.Postoperative complications,flatus,recovery time of bowel sounds,offbed time,length of hospital stay and shoulder pain score were compared.Results Postoperative abdominal distention,hypercapnia,shoulder and back pain,occurrence of complications such as nausea and vomiting were significantly better than the control group,the difference between the two groups was statistically significant (P ＜ 0.05).Anal exhaust time,recovery time of bowel sounds,off-bed time and hospital stay in the observation group were(9.96 ±0.97) h,(26.63 ±2.67) h,(12.84 ± 3.34) h,(7.51 ±2.17) d,which were shorter than (17.18 ±1.23) h,(42.29 ±4.52) h,(21.37 ± 3.85) h,(12.69 ± 3.38) d in the control group,the difference between two groups was statistically significance (P ＜ 0.05).There were no significant difference in shoulder and back pain score after 6 h (P ＞ 0.05).Shoulder and back pain scores in the observation group after 24,48,72 h were (1.63 ± 0.27),(1.24 ± 0.35),(0.80 ± 0.21),which were lower than (2.50 ± 0.42),(2.37 ± 0.56),(1.89 ± 0.37) in the control group,the differences between the two groups was statistically significant (P ＜ 0.05).Conclusion Comprehensive nursing for gynecologic laparoscopic surgery can effectively reduce the incidence of complications,shorten postoperative recovery time,so it is worthy of promotion and application in clinical practice.%目的 探讨妇科腹腔镜手术综合护理措施对患者术后并发症的预防效果.方法 将90例妇科腹腔镜手术患者随机分为观察组和对照组,各45例.观察组实施综合护理措施,对照组实施常规护理措施,比较2组患者术后并发症情况、肛门排气时间、肠鸣音恢复时间、下床活动时间、住院时间以及肩背酸痛评分.结果 观察组术后腹胀、高碳酸血症、肩背酸痛、恶心呕吐的并发症发生情况均显著优于对照组(P＜0.05).观察组肛门排气时间、肠鸣音恢复时间、下床活动时间及住院时间分别为(9.96±0.97)h、(26.63±2.67)h、(12.84±3.34)h、(7.51±2.17)d,分别短于对照组的(17.18±1.23)h、(42.29 ±4.52)h、(21.37±3.85) h、(12.69±3.38)d,差异均有统计学意义(P＜0.05).2组患者术后6h的肩背酸痛评分差异无统计学意义(P＞0.05);观察组患者术后24 h、48 h、72 h的肩背酸痛评分分别为(1.63 ±0.27)、(1.24 ±0.35)、(0.80±0.21)分,分别显著低于对照组的(2.50±0.42)、(2.37 ±0.56)、(1.89±0.37)分(P＜0.05).结论 对妇科腹腔镜手术患者实施综合护理措施效果显著,能有效降低并发症发生率,缩短患者术后恢复时间,值得在临床推广应用.