[1]張 之.針對性護理配合在膀胱全切原位回腸代膀胱術中的應用效果[J].醫學信息,2019,(20):178-179,187.[doi:10.3969/j.issn.1006-1959.2019.20.057]
　ZHANG Zhi.Application Effect of Targeted Nursing Combined with Total in Situ Ileal Bladder Surgery[J].Medical Information,2019,(20):178-179,187.[doi:10.3969/j.issn.1006-1959.2019.20.057]
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針對性護理配合在膀胱全切原位回腸代膀胱術中的應用效果()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年20期
頁碼:
178-179,187
欄目:
護理研究
出版日期:
2019-10-15

文章信息/Info

Title:
Application Effect of Targeted Nursing Combined with Total in Situ Ileal Bladder Surgery
文章編號:
1006-1959（2019）20-0178-03
作者:
張 之
（天津市第一中心醫院手術中心，天津 300110）
Author(s):
ZHANG Zhi
(Surgery Center,Tianjin First Central Hospital,Tianjin 300110,China)
關鍵詞:
膀胱全切術; 原位回腸代膀胱術; 護理配合
Keywords:
Total cystectomy; In situ ileal bladder surgery; Nursing cooperation
分類號:
R473.6
DOI:
10.3969/j.issn.1006-1959.2019.20.057
文獻標志碼:
A
摘要:
目的 觀察護理配合在經腹腔鏡下膀胱全切原位回腸代膀胱術中的應用效果。方法 回顧性分析2018年3月~2019年3月在我院行膀胱全切除原位回腸代膀胱術實施針對性手術配合的48例膀胱癌患者。觀察患者手術時間、術中出血量、腸功能恢復時間、新膀胱功能、并發癥發生情況及護理滿意度。結果 48例患者手術時間5~9 h，平均手術時間（5.98±0.45）h，術中出血量200~1000 ml，平均出血量（398.50±20.64）ml。術后2~3 d胃腸功能恢復，術后3周回腸代膀胱造影、靜脈腎盂造影顯示，雙腎良好，無輸尿管反流、梗阻，充盈良好。所有患者術后均未發生尿失禁、排尿困難等并發癥。護理滿意度調查，滿意28例，一般18例，不滿意2例，滿意度為95.83%。結論 經腹腔鏡下膀胱全切除原位代膀胱術患者采用針對性護理配合，可促進術后恢復，預防并發癥發生，且術后膀胱功能良好，值得臨床推廣應用。
Abstract:
Objective To observe the effect of nursing combined with laparoscopic total intravesical ileal bladder surgery.Methods A retrospective analysis of 48 patients with bladder cancer who underwent targeted surgical resection of the ileal bladder in our hospital from March 2018 to March 2019. Observed the patient's operation time, intraoperative blood loss, intestinal function recovery time, new bladder function, complications and nursing satisfaction.Results The operation time of 48 patients was 5~9 h, the average operation time was (5.98±0.45) h, the intraoperative blood loss was 200~1000 ml, and the average blood loss was (398.50±20.64) ml. Gastrointestinal function recovered 2 to 3 d after operation.Three weeks after ileal angiography and intravenous pyelography, the two kidneys were good, no ureteral reflux, obstruction, and good filling. All patients had no complications such as urinary incontinence and dysuria after operation. The nursing satisfaction survey was satisfactory in 28 cases, generally in 18 cases, and unsatisfactory in 2 cases, with a satisfaction rate of 95.83%.Conclusion Laparoscopic total resection of the bladder in situ surgery with targeted nursing can promote postoperative recovery, prevent complications, and good postoperative bladder function, which is worthy of clinical application.

參考文獻/References:

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更新日期/Last Update: 2019-10-15
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