中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
12期
1398-1401
,共4页
胃旁路术%腹腔镜%肥胖%标准化护理程序
胃徬路術%腹腔鏡%肥胖%標準化護理程序
위방로술%복강경%비반%표준화호리정서
Gastric bypass%Laparoscopy%Obese%Standardized nursing procedures
目的：探讨适合中国肥胖患者的腹腔镜下胃旁路手术的术中标准化护理操作流程。方法选择2010年5月-2013年1月完成腹腔镜下胃旁路术（ RYGB）的143例患者，早期按常规护理流程进行术中护理，在实施50例手术后，总结术中护理配合的经验教训，改进优化流程，建立了适合我院RYGB手术的术中标准化护理程序，比较实施前后两组的手术时间、术中出血量、住院费用、术后住院时间。结果标准化组平均手术时间（150．2±50．9） min，平均出血量（30．6±10．4） ml，平均住院费用（40748．3±5514．6）元，均低于对照组的（235．4±98．5）min，（50．7±10．7）ml，（44900．8±6176．4）元，两组比较差异有统计学意义（ t 分别为6．782，7．270，2．666；P＜0．01）；标准化组术后平均住院时间（3．7±1．3）d，对照组（3．9±1．3）d，差异无统计学意义（t＝0．709，P＞0．05）。结论实施标准化护理程序可以有效缩短手术时间，降低术中出血量，降低住院费用，提高手术效率。
目的：探討適閤中國肥胖患者的腹腔鏡下胃徬路手術的術中標準化護理操作流程。方法選擇2010年5月-2013年1月完成腹腔鏡下胃徬路術（ RYGB）的143例患者，早期按常規護理流程進行術中護理，在實施50例手術後，總結術中護理配閤的經驗教訓，改進優化流程，建立瞭適閤我院RYGB手術的術中標準化護理程序，比較實施前後兩組的手術時間、術中齣血量、住院費用、術後住院時間。結果標準化組平均手術時間（150．2±50．9） min，平均齣血量（30．6±10．4） ml，平均住院費用（40748．3±5514．6）元，均低于對照組的（235．4±98．5）min，（50．7±10．7）ml，（44900．8±6176．4）元，兩組比較差異有統計學意義（ t 分彆為6．782，7．270，2．666；P＜0．01）；標準化組術後平均住院時間（3．7±1．3）d，對照組（3．9±1．3）d，差異無統計學意義（t＝0．709，P＞0．05）。結論實施標準化護理程序可以有效縮短手術時間，降低術中齣血量，降低住院費用，提高手術效率。
목적：탐토괄합중국비반환자적복강경하위방로수술적술중표준화호리조작류정。방법선택2010년5월-2013년1월완성복강경하위방로술（ RYGB）적143례환자，조기안상규호리류정진행술중호리，재실시50례수술후，총결술중호리배합적경험교훈，개진우화류정，건립료괄합아원RYGB수술적술중표준화호리정서，비교실시전후량조적수술시간、술중출혈량、주원비용、술후주원시간。결과표준화조평균수술시간（150．2±50．9） min，평균출혈량（30．6±10．4） ml，평균주원비용（40748．3±5514．6）원，균저우대조조적（235．4±98．5）min，（50．7±10．7）ml，（44900．8±6176．4）원，량조비교차이유통계학의의（ t 분별위6．782，7．270，2．666；P＜0．01）；표준화조술후평균주원시간（3．7±1．3）d，대조조（3．9±1．3）d，차이무통계학의의（t＝0．709，P＞0．05）。결론실시표준화호리정서가이유효축단수술시간，강저술중출혈량，강저주원비용，제고수술효솔。
Objective To explore the suitable standardized nursing procedures on laparoscopic Roux -en-Y gastric bypass ( RYGB) in obese patients in China .Methods One hundred and forty-three patients with laparoscopic RYGB from May 2010 to January 2013 were chosen and divided into the control group (n=50, at the early stage ) and the observation group ( n=93 , at the late stage ) .The control group received the routine nursing, and the observation group received the standardized nursing procedures which was established through the summary of the experience of nursing cooperation during the operation and was suitable for the RYGB in our hospital.The operating time, blood loss, hospitalization expense and postoperative hospital stay were compared in two groups .Results The average operating time , blood loss and hospitalization expense were respectively (150.2 ±50.9)min, (30.6 ±10.4)ml, (40 748.3 ±5 514.6)yuan in the observation group , and were lower than (235.4 ±98.5) min, (50.7 ±10.7) ml, (44 900.8 ±6 176.4) yuan in the control group, and the differences were statistically significant (t=6.782, 7.270, 2.666, respectively;P<0.01).The postoperative hospital stay was (3.7 ±1.3)d in the observation group, and were (3.9 ±1.3)d in the control group, and the difference was not statistically significant (t =0.709, P >0.05).Conclusions The implementation of standardized nursing procedures can effectively shorten the operating time , reduce the blood loss and hospitalization expense , and improve the operation efficiency .
