腔镜下甲状腺癌根治术的围手术期护理(1)
[摘要] 目的 探讨腔镜下甲状腺癌根治术的围手术期护理方法。方法 方便选取2010年2月—2015年4月期间于该院接受甲状腺癌根治术的56例患者作为研究对象,根据护理方式的差异分为观察组(围手术期综合护理)和对照组(常规护理)各28例,对比两组患者的术后恢复效果、护理满意率以及并发症发生情况。 结果 观察组和对照组对比,观察组在平均住院时间[(3.52±2.15)d78.6%)明显高于对照组,对比差异有统计学意义(P<0.05)。结论 腔镜下甲状腺癌根治术的围手术期护理效果显著,能够帮助患者尽快恢复健康。具有很高的临床应用价值。
[关键词] 腔镜;甲状腺癌根治术;围手术期;护理
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2016)11(c)-0167-03
[Abstract] Objective To investigate peri operative nursing of endoscopic resection of thyroid carcinoma. Methods Convenient selection a total of February 2010 to April 2015 during the month of our hospital accepted of 56 cases of thyroid cancer radical mastectomy as the research object, according to the difference of nursing is divided into observation group (peri operative nursing) and control group (routine nursing with 28 cases in each), compared two groups of patients with postoperative recovery effect, nursing satisfaction rate and complications. Results The observation group and control group for comparison, the observation group in average hospitalization time [(3.52 ± 2.15) d < (7.64 ± 372) d], intraoperative bleeding volume [(22.78 ± 1085) mL 78.6%) is significantly higher than the control group, compared with statistical significance (P < 0.05). Conclusion Endoscopic resection of thyroid cancer Wai operation period nursing effect Significantly, can help patients recover as soon as possible, with a high clinical value.
[Key words] Endoscopic resection; Thyroid carcinoma;Perioperative period; Nursing
甲狀腺癌是临床上常见的恶性肿瘤疾病,临床表现为质硬的颈淋巴结肿块,患者会出现呼吸和吞咽困难、腹泻、心悸、血钙降低以及颈交感神经节受压等症状,并伴随有耳、枕、肩等部位疼痛,严重损害患者的身体健康,同时给患者的心理造成一定的创伤。手术是甲状腺癌的临床治疗办法,腔镜下行甲状腺癌根治术,以改善患者的临床症状,提高其生存质量[1]。为了更好的预防甲状腺癌术后复发,需要加强围手术期护理,进而提升甲状腺癌患者术后恢复效果。该研究以2010年2月—2015年4月期间于该院接受甲状腺癌根治术的56例患者作为研究对象,探讨腔镜下甲状腺癌根治术的围手术期护理办法及护理效果,现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治甲状腺癌患者56例,以上患者均接受腔镜下甲状腺癌根治术治疗。根据护理方式的差异分为观察组和对照组各28例。观察组男性患者4例,女性患者24例,年龄25~61岁,平均年龄(38.6±6.4)岁。其中乳头状癌11例,滤泡状癌5例,未分化癌5例以及髓样癌7例。对照组男性患者5例,女性患者23例,年龄27~62岁,平均年龄(37.9±6.1)岁。其中乳头状癌12例,滤泡状癌4例,未分化癌4例以及髓样癌8例。两组患者在性别、年龄以及疾病类型等方面的资料具有可比性,差异无统计学意义(P>0.05)。 (姚金梅)
[关键词] 腔镜;甲状腺癌根治术;围手术期;护理
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2016)11(c)-0167-03
[Abstract] Objective To investigate peri operative nursing of endoscopic resection of thyroid carcinoma. Methods Convenient selection a total of February 2010 to April 2015 during the month of our hospital accepted of 56 cases of thyroid cancer radical mastectomy as the research object, according to the difference of nursing is divided into observation group (peri operative nursing) and control group (routine nursing with 28 cases in each), compared two groups of patients with postoperative recovery effect, nursing satisfaction rate and complications. Results The observation group and control group for comparison, the observation group in average hospitalization time [(3.52 ± 2.15) d < (7.64 ± 372) d], intraoperative bleeding volume [(22.78 ± 1085) mL 78.6%) is significantly higher than the control group, compared with statistical significance (P < 0.05). Conclusion Endoscopic resection of thyroid cancer Wai operation period nursing effect Significantly, can help patients recover as soon as possible, with a high clinical value.
[Key words] Endoscopic resection; Thyroid carcinoma;Perioperative period; Nursing
甲狀腺癌是临床上常见的恶性肿瘤疾病,临床表现为质硬的颈淋巴结肿块,患者会出现呼吸和吞咽困难、腹泻、心悸、血钙降低以及颈交感神经节受压等症状,并伴随有耳、枕、肩等部位疼痛,严重损害患者的身体健康,同时给患者的心理造成一定的创伤。手术是甲状腺癌的临床治疗办法,腔镜下行甲状腺癌根治术,以改善患者的临床症状,提高其生存质量[1]。为了更好的预防甲状腺癌术后复发,需要加强围手术期护理,进而提升甲状腺癌患者术后恢复效果。该研究以2010年2月—2015年4月期间于该院接受甲状腺癌根治术的56例患者作为研究对象,探讨腔镜下甲状腺癌根治术的围手术期护理办法及护理效果,现报道如下。
1 资料与方法
1.1 一般资料
方便选取该院收治甲状腺癌患者56例,以上患者均接受腔镜下甲状腺癌根治术治疗。根据护理方式的差异分为观察组和对照组各28例。观察组男性患者4例,女性患者24例,年龄25~61岁,平均年龄(38.6±6.4)岁。其中乳头状癌11例,滤泡状癌5例,未分化癌5例以及髓样癌7例。对照组男性患者5例,女性患者23例,年龄27~62岁,平均年龄(37.9±6.1)岁。其中乳头状癌12例,滤泡状癌4例,未分化癌4例以及髓样癌8例。两组患者在性别、年龄以及疾病类型等方面的资料具有可比性,差异无统计学意义(P>0.05)。 (姚金梅)