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1、腹腔镜下胆囊切除患者的手术室护理配合初步研究邵东县人民医院湖南邵阳422800【摘要】目的：研宄和探索腹腔镜下胆囊切除患者的手术室护理配合要点和临床应用价值。方法：选择我院2014年8月到2015年8月接收的腹腔镜下肭囊切除患者150例，随机分为使用常规护理的对照组患者75例，使用手术室干预护理的观察组患者75例，对比和分析两组患者临床护理效果和并发症的发生情况等。结果：观察组患者手术时间36.6±9.7min，住院时间5.7±1.6d,术中出血量34.8v7.6mL,伤口感染1例，伤口出血1例，肺部感染0例，临床
2、并发症发生率为2.7%;对照组患者手术时间57.8±11.5min，住院时间8.9±2.7d，术中出血量52.7±9.1mL,伤U感染3例，伤U出血2例，肺部感染2例，临床并发症发生率为9.3%,且P<0.05差异具有统计学意义，对比只有临床参考价值。结论：施行手术室干预护理能够提高腹腔镜下胆囊患者的护理效果，大大减少术中出血量、手术时间和术后并发症的发生率，帮助患者快速恢复身体健康，只有推广价值。【关键词】腹腔镜；胆囊切除术；手术室护理；干预；配合要点【abstract】objective:t
3、ostudyandexplorethelaparoscopicresectioninpatientswithgallbladderoperatingroomnursingkeypointsandtheclinicalapplicationvalue.Methods：fromAugust2014toAugust2015patientsreceivinglaparoscopicgallbladderexcisionof150caseswererandomlydividedintocontrolgroupusingconventionalcarep
4、atient75examples，usingtheobservationoftheoperatingroomnursingcareinterventiongroup,75casesofpatients，comparisonandanalysisoftwogroupsofpatientswithclinicalnursingeffectandcomplications.Results：observationgrouppatients36.69.7minoperationtime,hospitalstay5.71.6d,intraoperativ
5、ebloodloss34.87.6mL,woundinfectionin1case，thewoundbleedingin1case,pulmonaryinfection0cases,clinicalcomplicationratewas2.7%；Controlpatients57.811.5minoperationtime,hospitalstay8.92.7d,intraoperativebloodloss52.79.1mL,woundinfection(3cases),woundhemorrhagein2cases,pulmonaryin
6、fectionin2cases,andclinicalcomplicationratewas9.3%,P<0.05statisticallysignificantdifference,comparedwithclinicalreferencevalue.Conclusion：theimplementationoftheoperatingroomnursingcareinterventioncanimprovethenursingeffectoflaparoscopyinpatientswithgallbladder,greatlyred
7、ucetheintraoperativebloodloss,operatingtimeandtheincidenceofpostoperativecomplications,helppatientsquicklyrecoverhealthybody,thevalueforpopularization.【keywords】：laparoscopic;Cholecystectomy；Theoperatingroomnursing；Intervention；Withthepoint腹腔镜下胆囊切除术(LaparoscopicCholecystect
8、omy：LC),与传统开腹手术相比，具有手术吋间短、创伤小、恢复快等优势，在医院得到普及和应用［1］。腹腔镜手术使用的器械和仪器较为复杂，对仪器的消毒杀菌和操作要求
