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腹腔镜胆囊切除术后疼痛的观察与护理
引用本文:夏荣,何海萍,杨青霞,廖允军. 腹腔镜胆囊切除术后疼痛的观察与护理[J]. 齐鲁护理杂志, 2006, 12(8): 691-692
作者姓名:夏荣  何海萍  杨青霞  廖允军
作者单位:深圳市第二人民医院,广东,深圳,518026;深圳市第二人民医院,广东,深圳,518026;深圳市第二人民医院,广东,深圳,518026;深圳市第二人民医院,广东,深圳,518026
摘    要:目的:探讨腹腔镜胆囊切除术(LC)术后疼痛的原因及有效的预防和护理措施。方法:对88例LC术后疼痛患者的临床资料进行回顾性分析,总结引起术后疼痛的原因及护理措施。结果:CO2气腹引起的颈肩痛占35%;手术创伤引起的疼痛占29.6%;术后腹腔内严重并发症引起的疼痛占3.4%;术后腹胀、呕吐等诱发的疼痛占27%;肠蠕动亢进引起的阵发性腹痛占5%。结论:LC术后疼痛的原因涉及围手术期的多个环节,应针对其原因采取综合性预防和护理措施。

关 键 词:腹腔镜胆囊切除术  术后疼痛  护理对策
文章编号:1006-7256(2006)04-0691-02
修稿时间:2006-02-23

Observation and nursing care of postoperative pain of laparoscopic cholecystetomy
Xia Rong,He Haiping,Yang Qingxia,et al.. Observation and nursing care of postoperative pain of laparoscopic cholecystetomy[J]. Journal of Qilu Nursing, 2006, 12(8): 691-692
Authors:Xia Rong  He Haiping  Yang Qingxia  et al.
Abstract:Objective: To discuss the reasons and prevention of postoperative pain and measures of nursing care as well. Methods: Clinical data of 88 cases treated with LC was analyzed retrospectively, from which the reasons were classified and nursing measures were worked out. Results: Pain on the shoulder and neck caused by carbon dioxide amounted to 35%, pain caused by surgical wound 29.6%, pain caused by severe complication of abdominal cavity 3.4%, pain caused by gastrointestinal extension and nausea amounted to 27% and paroxysmal abdominal pain due to gastrointestinal peristaltic accentuation 5%. Conclusion: The postoperative pain of patients after LC has something to do with a few factors in perioperative period, for which comprehensive prevention and appropriate nursing measures will be taken.
Keywords:Laparoscopic cholecystetomy  Postoperative pain  Nursing
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