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1、循证护理对减少腹腔镜手术后置管发生下肢静脉血栓及并发症的影响目的探言寸循证护理对减少腹腔镜手术后置管发生下肢静脉血栓及并发症的影响。方法选取我院2014年8月2016年8月的100例腹腔镜手术后置管患者进行研究，将患者随机分为对照组和试验组各50例，其中对照组患者采用常规护理方式进行干预，试验组患者在对照组的基础上采用循证护理对患者进行护理干预，观察两组患者腹胀、感染、皮下气肿、下肢静脉血栓等发生情况；采用生活质量核心量表（QOL-30）对患者生活质量进行评估。结果两组患者护理干预后，试验组腹胀、感染、皮下气肿、下肢静脉血栓等发生率明显低于对照组，差异有统计学意义（P0.05）;护理后试验组的
2、生活质量评分明显高于对照组，差异有统计学意义（P0.05）；护理后试验组满意度（98.0%）明显高于对照组（78.0%）,差异有统计学意义（P0.05）。结论对腹腔镜手术后置管患者进行循证护理干预能够明显的减少患者下肢静脉血栓及并发症发生，有效的改善患者生活质量，值得推广应用。Abstract Objective To explore the effect of evidence-based nursing on reducing venous thrombosis and complications of the lower extremities induced by catheterin
3、g after laparoscopic surgery. Methods 100 patients receiving cathetering after laparoscopic surgery who were enrolled from August 2014 to August 2016 in our hospital were selected. The patients were randomly divided into the control group and the experimental group，with 50 cases in each group. The p
4、atients in the control group were treated with routine nursing methods， and the patients in the experimental group were treated with evidence-based nursing care on the basis of the control group. Bloating，infection，subcutaneous emphysema，venous thrombosis of lower extremities and other complications
5、 were observed in both groups；patients quality of life was assessed using QOL-30. Results The incidence rate of bloating ， infection，subcutaneous emphysema and venous thrombosis of lower extremities in the experimental group was significantly lower than that in the control group after nursing interv
6、ention, and the differences were statistically significant （P0.05）； the score of quality of life in the experimental group after nursing was significantly higher than that in the control group,and the difference was statistically significant （P0.05）；the satisfaction rate in the experimental group（98
7、.0%）was significantly higher than that in the control group（78.0%）, the difference was statistically significan（t P0.05）. Conclusion Evidence-based nursing intervention in the patients receiving cathetering after laparoscopic surgery can significantly reduce the venous thrombosis and complications of the lower extremities, and improve the quality of life of patients,which is worthy of popularization and application.Key wordsLaparoscopy； Evidence-based nursing； Venous thrombosis of lower extremities； Complications；Quality of life腹腔镜手术是一种微创方法,由于其手术创伤小、术后恢复快等优点在临床
