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腹腔镜胆囊切除术并发症的危险因素及护理(1)
http://www.100md.com 2014年6月1日 游嘉 刘金华
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     【摘要】目的探究导致腹腔镜胆囊切除术并发症发生的危险因素,并提出相应的护理对策。方法选择2008年1月至2013年6月收治的进行腹腔镜胆囊切除手术的患者117例,采用χ2检验和Logistic回归方法对于在进行腹腔镜胆囊切除术并发症的危险因素进行分析,进行多因素回归分析。结果通过回归分析发现:Calot三角粘连、病期、胆囊动脉及胆囊管变异、胆囊壁厚度( B超)依次为导致腹腔镜胆囊切除术并发症发生的主要危险因素。结论加强技术培训和正确认识和掌握腹腔镜胆囊切除术并发症的危险因素,密切有针对性的护理,可减少或降低手术并发症的发生,切实去除患者痛苦。

    【关键词】腹腔镜胆囊切除术;并发症;危险因素;护理

    Abstract:objective:To investigate therisk factors of laparoscopic cholecystectomy complications, and proposing the corresponding nursing methods. Methods:117 laparoscopic cholecystectomy patients admitted from January 2008 to June 2013 were collected, The χ2 test and Logistic regression methods were used to analyze risk factors of complications. Results: By the results of the regression analysis we found Calot triangle adhesions, stage of disease, cystic artery and cystic duct variation, gallbladder wall thickness (B Ultra) followed by laparoscopic cholecystectomy cause major risk factor for complications ......

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