CAJ | 학술논문

目的探讨腹腔镜胆囊切除术后指导患者早期随意体位的可行性及安全性.方法将186例腹腔镜胆囊切除术后患者随机分为观察组和对照组,观察组94例患者指导术后2h开始随意活动四肢；对照组92例患者术后予以常规腹腔镜术后护理,比较两组术后腹胀、疼痛和尿潴留发生率.结果观察组发生腹胀4例,尿潴留3例,腰肌酸痛15例；对照组发生腹胀13例,尿潴留12例,腰肌酸痛60例,组间比较差异具有统计学意义(x2 =5.460,6.087,46.885；P ＜0.05).结论腹腔镜胆囊切除术后2h指导患者随意体位安全可行,可减少患者腹胀、腰肌酸痛和尿潴留,不加重患者活动后疼痛、头晕、心慌和乏力,有利于患者早日康复.
목적 탐토복강경담낭절제술후지도환자조기수의체위적가행성급안전성.방법 장186례복강경담낭절제술후환자수궤분위관찰조화대조조,관찰조94례환자지도술후2h개시수의활동사지；대조조92례환자술후여이상규복강경술후호리,비교량조술후복창、동통화뇨저류발생솔.결과 관찰조발생복창4례,뇨저류3례,요기산통15례；대조조발생복창13례,뇨저류12례,요기산통60례,조간비교차이구유통계학의의(x2 =5.460,6.087,46.885；P ＜0.05).결론 복강경담낭절제술후2h지도환자수의체위안전가행,가감소환자복창、요기산통화뇨저류,불가중환자활동후동통、두훈、심황화핍력,유리우환자조일강복.
Objective To evaluate the feasibility and safety of taking arbitrary position in the early period after laparoscopic cholecystectomy.Methods 186 patients who underwent laparoscopic cholecystectomy from Jun.2010 to Oct.2010 were randomly divided into two groups,observation group (n =94) and control group ( n =92) ; the former group was instructed to freely mobilize 2 hours after the operation,while the latter group was administered with traditional nursing.Abdominal distension,pain,urinary retention of both groups after laparoscopic cholecystectomy were compared.Results The observation group happen abdominal distension 4 cases,urinary retertion in 3,lumbar muscle ache 15 cases and control group happen abdominal distension 13 cases,urinary retention in 12 cases,lumbar mascle ache 60 cases,and muscle soreness after laparoscopic cholecystectomy were obviously lower in the observation group,and the differences between both groups were statistically significant ( x2 =5.460,6.087,46.885 ; P ＜ 0.05 ).Conclusions Taking arbitrary position in the early period 2 hours after laparoscopic cholecystectomy is safe and feasible,it can also reduce the occurrence of abdominal distension,urinary retention and muscle soreness,mitigate pain,dizzy,palpitation and lack of energy,and facilitate patients' early recovery.