论文部分内容阅读
目的总结减重代谢手术的护理体会及并发症的处理。方法回顾性分析2016年1~12月于我科行减重代谢手术69例,其中行腹腔镜胃转流手术59例,行腹腔镜袖状胃手术10例的临床资料,总结护理经验。结果 69例患者手术均成功,并发症发生率4.7%(4/69),4例切口感染,均经积极处理后好转。全组术后空腹、0.5h、1h、2h的葡萄糖耐量监测较术前显著下降(P<0.05)。结论对于行胃转流手术治疗肥胖合并2型糖尿病的护理应做到细致周密的护理、减少术后并发症的发生,对提高手术效果具有积极的作用。
Objective To summarize the nursing experience and the treatment of complications in weight-loss metabolic surgery. Methods The clinical data of 69 patients who underwent weight-loss and metabolic surgery from January to December 2016 in our hospital from January 2016 to December 2016 were retrospectively analyzed. Among them, 59 cases underwent laparoscopic gastric bypass surgery and 10 cases underwent laparoscopic sleeve gastroscopic surgery. The nursing experience was summarized. Results All the 69 patients were operated successfully. The incidence of complications was 4.7% (4/69). Four cases were incisional infection, which were all improved after active treatment. The fasting blood glucose in all groups was significantly lower at 0.5h, 1h and 2h after operation than that before operation (P <0.05). Conclusions For gastric bypass surgery for the treatment of obesity combined with type 2 diabetes care should be meticulous care, reduce the incidence of postoperative complications, to improve the surgical effect has a positive effect.