【摘要】 目的探讨综合护理措施预防腹腔镜前列腺癌根治术并发高碳酸血症的效果。方法选取2018年1月～2019年12月广东省佛山市中医院收治全麻腹腔镜前列腺癌根治术的55例患者作为研究对象,以抽签随机法分对照组（27例）与观察组（28例）。对照组采用常规护理措施,观察组采用围术期针对性综合护理措施,比较两组的血氧饱和度（SpO₂）、二氧化碳分压（PaCO₂）。结果两组围术期的SpO₂比较,差异无统计学差异（P>0.05）;两组术前的PaCO₂基线持平,但术中、术后观察组的PaCO₂低于对照组,差异有统计学意义（P<0.05）;观察组有2例发生高碳酸血症,发生率为7.14%,对照组7例,发生率为25.9%,差异有统计学差异（P<0.05）。结论腹腔镜前列腺癌根治术易并发高碳酸血症,给予综合护理措施可有效降低其发生率,值得临床实践和各类手术护理中推广应用。更多还原

【Abstract】 Objective To investigate the clinical effect of comprehensive nursing measures on prevention of hypercapnia complicated by laparoscopic radical prostatectomy.Methods A total of 55 patients treated in Foshan Hospital of Traditional Chinese Medicine for laparoscopic radical resection of prostate cancer under general anesthesia from January 2018 to Decmber 2019 were selected as study subjects,and randomly divided them into control group（n=27） and obeservation groups（n=28） by envelope method.The patients in the control group received routine basic nursing care,and patients in the observation group received targeted comprehensive nursing care during the perioperative period.The oxygen saturation（SpO₂） and carbon dioxide partial pressure（PaCO₂） were compared between the two groups.Results There was no significant difference in SpO₂ between the two groups during the perioperative period（P>0.05）.The baseline of PaCO₂ in the two groups was flat before operation,but the differences were statistically significant in the observation group during and after operation compared with the control group（P<0.05）.Hypercapnia occurred in 2 patients in the observation group,with an incidence of 7.14%,and in 7 patients in the control group,with an incidence of25.9%,with statistically significant difference（P<0.05）.Conclusion Laparoscopic radical resection of prostate cancer is easy to be complicated with hypercapnia,and comprehensive nursing measures can effectively reduce the incidence of hypercapnia.It is worth popularizing and applying in clinical practice and operation nursing of various diseases.更多还原