首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >综合护理预防妇科腹腔镜手术头低脚高位引发眼球结膜水肿的效果观察
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综合护理预防妇科腹腔镜手术头低脚高位引发眼球结膜水肿的效果观察

机译:综合护理预防妇科腹腔镜手术头低脚高位引发眼球结膜水肿的效果观察

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:Objective To explore the effect of comprehensive nursing interventions on preventing conjunctival edema caused by Trendelenburg position in gynecological laparoscopic surgery. Methods 〓Totally 240 patients undergoing gynecological laparoscopic surgery were selected and divided into the observation group(n=120)and the control group(n=120)according to the random number table. Trendelenburg position was adopted in the gynecological laparoscopic surgery. Patients in the control group were given routine care, and those in the observation group were given comprehensive nursing interventions. The intraocular pressure was assessed during the surgery, and the incidence of conjunctival edema as compared between two groups. Results 〓There was no significant difference in surgical field exposure between the two groups(P0.05). The intraocular pressure of the observation group was lower than that of the control group at 5 and30 minutes after taking Trendelenburg position, 1 hour after surgery onset and time-point of tube withdrawal, respectively(P0.01). The incidence of conjunctival edema was lower in the observation group than that in the control group(4.17% vs. 12.50%, P0.05). The incidence rates of postoperative lower limb pain and shoulder pain were lower in the observation group than those in the control group(P0.05). Conclusion 〓Comprehensive nursing interventions can effectively prevent conjunctival edema caused by Trendelenburg position in gynecological laparoscopic surgery.
机译::目的探讨综合护理干预措施在妇科腹腔镜手术中预防特伦德伦伯卧位引起的结膜水肿的效果。方法〓根据随机数字表,共选择妇科腹腔镜手术患者240例,分为观察组(n = 120)和对照组(n = 120)。妇科腹腔镜手术采用了特伦德伦伯卧位。对照组患者接受常规护理,观察组患者接受综合护理干预。在手术期间评估眼内压,并比较两组的结膜水肿发生率。结果〓两组手术视野暴露无明显差异(P> 0.05)。观察组在特伦德伦伯卧位后5分钟和30分钟,手术开始后1小时和拔管时间点的眼内压均低于对照组(P <0.01)。观察组结膜水肿的发生率低于对照组(4.17%vs. 12.50%,P <0.05)。观察组术后下肢疼痛和肩痛的发生率低于对照组(P <0.05)。结论〓在妇科腹腔镜手术中,综合护理措施可有效预防因特伦德伦伯卧位引起的结膜水肿。

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