中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2010年
11期
1284-1286
,共3页
血小板减少性紫癜%脾切除术%腹腔镜%护理
血小闆減少性紫癜%脾切除術%腹腔鏡%護理
혈소판감소성자전%비절제술%복강경%호리
Idiopathic Thrombocytopenic Purpura%Splenectomy%Laparoscope%Nursing Care
目的 探讨腹腔镜与开腹脾切除术治疗特发性血小板减少性紫癜(ITP)的护理异同.方法 对比分析我科1996年10月-2008年9月在腹腔镜脾切除术(LS)的病例72例及同期行开腹脾切除术(OS)的病例50例,比较两组患者术后恢复情况的相关指标.结果 腹腔镜组的平均手术时间明显长于开腹组(P＜0.05),术中出血量、腹腔引流量、术后疼痛程度、排气时间、术后进食时间、术后离床活动时间以及术后住院时间均低于开腹组(P＜0.05),两组术后并发症发生率、疗效及体温变化差异均无统计学意义(P＞0.05).结论 LS治疗ITP的疗效与OS相近,而且创伤小、恢复快、并发症发生率低,总结两种脾切除术临床护理的异同点,对提高腹腔镜脾切除术围手术期护理质量,促进患者康复具有重要的意义.
目的 探討腹腔鏡與開腹脾切除術治療特髮性血小闆減少性紫癜(ITP)的護理異同.方法 對比分析我科1996年10月-2008年9月在腹腔鏡脾切除術(LS)的病例72例及同期行開腹脾切除術(OS)的病例50例,比較兩組患者術後恢複情況的相關指標.結果 腹腔鏡組的平均手術時間明顯長于開腹組(P＜0.05),術中齣血量、腹腔引流量、術後疼痛程度、排氣時間、術後進食時間、術後離床活動時間以及術後住院時間均低于開腹組(P＜0.05),兩組術後併髮癥髮生率、療效及體溫變化差異均無統計學意義(P＞0.05).結論 LS治療ITP的療效與OS相近,而且創傷小、恢複快、併髮癥髮生率低,總結兩種脾切除術臨床護理的異同點,對提高腹腔鏡脾切除術圍手術期護理質量,促進患者康複具有重要的意義.
목적 탐토복강경여개복비절제술치료특발성혈소판감소성자전(ITP)적호리이동.방법 대비분석아과1996년10월-2008년9월재복강경비절제술(LS)적병례72례급동기행개복비절제술(OS)적병례50례,비교량조환자술후회복정황적상관지표.결과 복강경조적평균수술시간명현장우개복조(P＜0.05),술중출혈량、복강인류량、술후동통정도、배기시간、술후진식시간、술후리상활동시간이급술후주원시간균저우개복조(P＜0.05),량조술후병발증발생솔、료효급체온변화차이균무통계학의의(P＞0.05).결론 LS치료ITP적료효여OS상근,이차창상소、회복쾌、병발증발생솔저,총결량충비절제술림상호리적이동점,대제고복강경비절제술위수술기호리질량,촉진환자강복구유중요적의의.
Objective To compare the similarities and the differences of nursing care on patients with idiopathic thrombocytopenic purpura. Underwent laparoscope splenectomy and open splenectomy. Methods A total of 122 cases admitted from October 1996 to September 2008 were selected and investigated prospectively.Among them, 72 cases were underwent laparoscope spleneetomy, the other 50 cases were accepted open splenectomy. Indexes of the recovery after operation were compared. Results The mean operation time was longer in the laparoscopic splenectomy group than that in the open group ( 135.3 min vs 108.5 min,P ＜0. 05).The laparoscopic group decreased more significantly than the open group in blood loss ( 110 ml vs 185 ml),abdominal drainage volume ( 100 ml vs 230 ml), the off-bed ambulation time(26. 2 h vs 46.9 h), the anal aerofluxus time(28.9 h vs 68. 1 h) ,food intake time(32. 2 h vs 72.3 h), and post operative hospitalization (8.5 d vs 15. 1 d). Postoperative pain was significantly less in LS group ( P ＜ 0. 05 ). There were no differences in postoperative complication, treatment effectiveness and temperature between two groups (P ＞ 0. 05 ).Conclusions Laparoscope splenectomy, whereas of less traumatic and low morbidity, results in comparable effects as open splenectomy for the treatment of idiopathic thrombocytopenic purpura.. It has important significance to know both similarities and differences of clinical nursing care for patients undergoing the two ways of splenectomy, in order to enhance the nursing quality for peri-operative patients with splenectomy via laparoscope and promote their postoperative rehabilitation.
