腹腔镜与开腹手术治疗宫颈癌的临床护理体会

［摘要］目的　比较腹腔镜手术与开腹手术治疗宫颈癌的临床护理要点和作用．方法　随机选取66宫颈癌患者,分为腹腔镜手术组（LRH组）和开腹手术组（ARH组）．由临床经验丰富、责任心强的二级以上护理师担任责任护士．术前根据患者情况制定护理计划,实行个性化护理．术后落实护理措施,评估患者情况完善护理计划。比较两组患者手术时间、离床活动时间、排气时间、疼痛时间、留置尿管时间、术后体温及住院天数．结果　腹腔镜组手术时间（56±10.2）min,开腹组（54±11.3）min,无统计学意义（P＞0.05）;腹腔镜组患者离床活动时间、排气时间、疼痛时间、尿管留置时间、术后体温及住院天数均少于开腹组,有统计学意义（P＜0.01）．通过有效护理,无护理并发症发生,患者全部康复出院．结论　宫颈癌根治术是妇科的大手术,通过两种术式的比较,腹腔镜组患者的术后恢复快、所用治疗时间短．在护理过程中术前护理是提高手术切除成功率的重要保证,而术后护理对病人的康复起到关键的作用．

Clinical Nursing Experience in Laparoscopic Operation and Laparotomy for Cervical Cancer

［Abstract］Objective The study was aimed to compare the main points and function of clinical nursing between laparoscopic operation and laparotomy for cervical cancer. Methods Sixty-six patients with cervical cancer were randomly divided into two groups: laparoscopy group（LRH）and laparotomy group（ARH）. The experienced nurse practitioners with strong sense of responsibility were selected as duty nurses. Before operative, nursing planning was developed according to patients' condition in order to implement personalized nursing. The patients' situation was assessed after operation to improve the nursing plan. Then,a comparison were made in operating time, time for leaving bed,evacuation time, duration of pain,indwelling catheter time, body temperature and hospitalization days between the two groups. Results The duration of operation was （56±10.2） min and（54±11.3） min of LRH and ARH groups, respectively. There was no difference（P > 0.05）. Compared with the ARH group,the time for leaving bed,evacuation time,duration of pain,indwelling catheter time,body temperature and hospitalization days were significantly less than those of LRH group （P < 0.05）. Through effective nursing, no nursing complications occurred. Conclusion Radical surgery of cervical cancer is a large operation in gynecology. Laparoscopic surgery has advantages over laparotomy, including faster postoperative recovery and shorter operative time. Preoperative nursing is important guarantee of improving the success rate of the surgical resection,and the postoperative nursing plays a key role in the patients' recovery.