CAJ | 학술논문

目的比较腔镜甲状腺手术与开放手术的护理措施和护理指标，总结有效的护理方法.方法随机抽取我科2009年6月至2011年5月实施腔镜甲状腺切除术30例，并随机抽取同期开展的开放性甲状腺切除术30例，将两者的护理措施和结果进行比较分析.结果腔镜甲状腺手术与开放手术相比，术前焦虑发生率、留置引流管时间无统计学意义(P>0.05)，而进流食时间较开放手术早、住院时间较开放手术短、对颈部美观普遍满意，有统计学意义(P<0.05).结论甲状腺切除术围手术期细致、周到、专科的护理是手术成功的重要保证，腔镜甲状腺手术后进食早、总护理时间短、更让患者感觉舒适和美观.
목적비교강경갑상선수술여개방수술적호리조시화호리지표，총결유효적호리방법.방법수궤추취아과2009년6월지2011년5월실시강경갑상선절제술30례，병수궤추취동기개전적개방성갑상선절제술30례，장량자적호리조시화결과진행비교분석.결과강경갑상선수술여개방수술상비，술전초필발생솔、류치인류관시간무통계학의의(P>0.05)，이진류식시간교개방수술조、주원시간교개방수술단、대경부미관보편만의，유통계학의의(P<0.05).결론갑상선절제술위수술기세치、주도、전과적호리시수술성공적중요보증，강경갑상선수술후진식조、총호리시간단、경양환자감각서괄화미관.
Objective To study of thyroid laparoscopic surgery and open surgery nursing comparatively, optimize thyroid surgery nursing programs. Mothods Randomly selected 30 cases of endoscopic thyroidectomy and randomly selected 30 cases of open thyroidectomy from the same period in Mianyang Central Hospital General Surgery department since June 2009 to May 2011, analysis of nursing experience results. Results There were not statistically significant in preoperative anxiety incidence and with drainage tube time in the two groups (P> 0.05).There were statistically significant in the time eating the food after the operating 、postoperative hospitalization time and the neck beautiful in the two groups (P <0.05). Conclusion The different surgical thyroidectomy perioperative care had a very important role in the operating. Endoscopic thyroidectomy can make patients feel more comfortable,eat the food earl after the operating and shorten the total nursing time.