赵琳

【摘 要】目的：分析细节护理在腹腔镜下胆囊切除术治疗胆结石中的应用价值及意义。方法：选取于2020年1月至12月收治的200例胆结石病症患者进行分析，采用随机数分组法进行组别区分，将患者分为对照组和观察组，各纳入100例病症患者，对照组实施常规护理，观察组实施细节护理，将两组患者接受护理后的各项手术指标差异作为效果区分标准。结果：观察组护理后各项手术指标明显低于对照组，差异显著（P<0.05）。结论：通过将细节护理应用于腹腔镜胆囊切除术患者中，可减少患者术中出血量，同时对提高患者术后恢复效率，减少住院时间和经济负担具有一定的使用价值，对促进病症康复具有重要意义，值得广泛推广。

【关键词】细节护理；腹腔镜胆囊切除术；胆结石；手术指标

The application value and significance of detailed nursing in the treatment of gallstones under laparoscopic cholecystectomy

Zhao Lin

Xining First Peoples Hospital，Qinghai Xining 810000 ， China

【Abstract】Objective： To analyze the application value and significance of detailed nursing in the treatment of gallstones under laparoscopic cholecystectomy. Methods ： A total of 200 patients with gallstone disease who were admitted from January 2020 to December 2020 were selected for analysis. The random number grouping method was used to distinguish between groups. The patients were divided into control group and observation group， each of which included 100 patients. The control group was given routine nursing， and the observation group was given detailed nursing. The difference of various surgical indicators between the two groups of patients after nursing was used as the criterion for distinguishing effects. Results： The operation indexes of the observation group were significantly lower than those of the control group after nursing， and the difference was significant（P<0.05）.Conclusion：By applying detailed nursing to patients undergoing laparoscopic cholecystectomy， intraoperative blood loss can be reduced， and at the same time， it has a certain value in improving the efficiency of postoperative recovery of patients， reducing hospitalization time and economic burden， it is important for promoting disease recovery Significance and is worthy of widespread promotion.

【Key？Words】Detailed care；Laparoscopic cholecystectomy；Gallstones；Surgical indicators

膽结石是外科手术室常见的病症，成因相对复杂，包含食物的摄取、日常的生活规律等。胆结石早期的临床表现不明显，患者早期不易察觉病症现象，随着病程的逐渐延长，胆结石会逐渐引起肠道阻塞，导致患者出现胆绞痛症状、恶心或者呕吐等现象，如果不及时通过手术排除患者的胆结石，会导致患者出现急性胆囊炎等并发症[1]。腹腔镜胆囊切除术作为目前治疗胆结石的主要措施，手术安全性高，疗效显著，但由于手术仍会对患者产生一定的损伤，需通过术后护理给予进一步改善[2]。本文以200例患者为研究对象，分析细节护理对病症患者的效果，有以下报告。

1 资料与方法

1.1 一般资料

选取2020年1月至12月收治的200例胆结石病症患者进行分析，采用随机数分组法进行组别区分，将患者分为对照组和观察组，各纳入100例病症患者。对照组，男64例，女36例，年龄40岁～55岁，平均年龄（47.73±4.54）岁；观察组，男57例，女43例，年龄40岁～55岁，平均年龄（48.02±4.61）岁。……