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目的探讨腹腔镜下右半结肠根治术围术期有效的护理方法。方法回顾性分析广州市第十二人民医院和中山大学附属第一医院2015年1月-2016年12月36例腹腔镜下右半结肠根治术患者围术期护理方法,评价治疗效果。结果 36例患者手术均顺利完成,术后2例出现发热,6例出现腰肩背酸痛,经治疗与护理后症状消失,无严重并发症病例。患者在护士指导下于术后24~39 h下床活动,平均(29.7±8.2)h;肠蠕动功能于26~42 h恢复,平均(29.7±8.2)h;平均排便时间(39.1±11.4)h,平均进流质饮食时间(30.5±7.4)h,平均腹腔引流管拔除时间(5.2±1.4)d,平均住院时间(12.5±3.3)d。结论围术期全面细致的护理是手术顺利完成的保障,同时对促进患者术后顺利康复具有重要作用。
Objective To investigate the effective nursing method of perioperative laparoscopic right colon resection. Methods A retrospective analysis of Guangzhou 12th People’s Hospital and First Affiliated Hospital of Sun Yat-sen University from January 2015 to December 2016 36 cases of right colon cancer patients underwent laparoscopic perioperative nursing methods to evaluate the therapeutic effect. Results Thirty-six patients underwent surgery successfully. Two patients developed fever after operation and six patients had back and back pain. After treatment and nursing, symptoms disappeared and no serious complication occurred. The patients underwent ambulation under the guidance of a nurse and got off the bed 24 to 39 hours postoperatively, with an average of (29.7 ± 8.2) h. The bowel function recovered at 26 to 42 hours (mean, 29.7 ± 8.2 h) and mean defecation time (39.1 ± 11.4) h, average intake of liquid dietary time (30.5 ± 7.4) h, average abdominal drainage tube removal time (5.2 ± 1.4) d, average length of stay (12.5 ± 3.3) d. Conclusion Comprehensive and comprehensive nursing during perioperative period is the guarantee of the successful completion of surgery, and plays an important role in promoting the smooth recovery of patients after operation.