目的 讨论病理性肥胖患者行腹腔镜下胃转流术中围手术期的护理方法及作用。 方法 对2010年6月-2012年1月30例病理性肥胖患者行腹腔镜下胃转流术的护理方法及预后进行回顾性分析。 结果 29例患者术后恢复良好,1例吻合口瘘,经积极治疗及专业护理后痊愈出院。合并糖尿病者术后1个月行葡萄糖耐量试验均提示糖尿病病情好转,6个月时血糖控制理想;合并高血压病者血压控制稳定。所有患者术后体重均有明显下降。 结论 良好的围手术期护理,可提高手术成功率,减少术后感染,缩短住院日,提高患者术后生活质量。
Citation:
梁涛,钟静,向巍,印义琼. 腹腔镜下胃转流术治疗病理性肥胖患者围手术期护理. West China Medical Journal, 2013, 28(11): 1760-1762. doi: 10.7507/1002-0179.20130556
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- 2. Agnani S, Vachharajani VT, Gupta R, et al. Does treating obesity stabilize chronic kidney disease?[J]. BMC Nephro, 2005, 15(6): 7.
- 3. Lee WJ, Wang W. Bariatric surgery: asia-pacific perspective[J]. Obes Surg, 2005, 15(6): 751-757.
- 4. 张国英, 邓微, 李晓玉. 糖尿病患者围手术期血糖控制标准的探讨[J]. 中华全科医师杂志, 2003, 2(2): 101-102.
- 5. Hrabosky JI, White MA, Masheb RM, et al. Psychometric evaluation of the eating disorder examination-questionnaire for bariatric surgery candidates[J]. Obesity (Silver Spring), 2008, 16(4): 763-769.
- 6. 王秀荣. 肠外肠内营养支持护理相关技术的现状与发展[J]. 中华现代护理杂志, 2009, 15(33): 3465-3466.
- 7. 高秀萍. 糖尿病低血糖患者的观察及护理[J]. 中国实用护理杂志, 2011, 27(15): 13-14.
- 8. Mathison CJ. Skin and wound care challenges in the hospitalized morbidly obese patient[J]. J Wound Ostomy Continence Nurs, 2003, 30(2): 78-83.
- 9. Grindel ME, Grindel CG. Nursing care of the person having bariatric surgery[J]. Medsurg Nurs, 2006, 15(3): 129-145.
- 10. 谢娜, 张朝军, 兰丁, 等. 2型糖尿病患者行腹腔镜胃转流术后的饮食指导[J]. 第三军医大学学报, 2011(18): 1990-1990.