中华腔镜外科杂志(电子版) ›› 2017, Vol. 10 ›› Issue (03): 190 -192. doi: 10.3877/cma.j.issn.1674-6899.2017.03.018
所属专题: 文献资源库;
护理园地 上一篇
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Lanlan Wei 1 , †( ), Yue Wu 1, Linjuan Zhang 1, Yanqiang Wei 1
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探究分析将快速康复外科理念应用于手术室护理中的应用效果。
选择2015年8月至2016年6月期间,西安交通大学医学院第一附属医院胃肠手术患者100例为研究对象,100例患者均行腹腔镜手术,随机将腹腔镜胃肠手术患者分为两组,每组分别为50例;使用常规护理方法的是对照组,使用快速康复外科理念护理方案的是试验组。以禁食时间、肠鸣音恢复时间、排气时间、排便时间、住院时间、并发症发生率为临床评价指标,对比两组腹腔镜胃肠手术患者的临床效果。
试验组与对照组的禁食时间、肠鸣音恢复时间、排气时间、排便时间、住院时间、并发症发生率比较[(23.1 ± 2.3)h vs (32.4 ± 5.5)h、(26.1 ± 3.7)h vs (31.0 ± 3.1)h、(41.6 ± 2.6)h vs (65.2 ± 2.3)h、(49.4 ± 3.8)h vs (62.0 ± 4.7)h、(6.4 ± 1.7)d vs (10.0 ± 1.5)d、4.0% vs 12.0%],差异有统计学意义(P< 0.05)。
快速外科康复理念是一种科学、有效的护理理念,将其应用于腹腔镜胃肠手术患者的手术室护理中,有利于提高护理效果,有利于降低并发症发生率,值得在临床上推广。
To explore the application effect of fast track surgery in operation room nursing.
The First Affiliated Hospital of Xi′an Jiao Tong University Medical College, from Aug. 2015 to Jun. 2016, 100 cases of gastrointestinal surgery as the research target, the 100 cases underwent laparoscopic surgery, the laparoscopic gastrointestinal surgery patients were randomly divided into two groups, each group of 50 patients. One group was a control group of patients who received routine care, and a group of patients in the experimental group using the concept of rapid rehabilitation surgery. The fasting time, recovery time of bowel sound, exhaust time, defecation time, hospitalization time, complication rate for the clinical evaluation of clinical effect of two groups of patients with laparoscopic gastrointestinal surgery.
Fasting time, borborygmus test group and control group in the recovery time, exhaust time, defecation time, hospitalization time, complication incidence[(23.1 ± 2.3)h vs (32.4 ± 5.5)h, (26.1 ± 3.7)h vs (31.0 ± 3.1)h, (41.6 ± 2.6)h vs (65.2 ± 2.3)h, (49.4 ± 3.8)h vs (62.0 ± 4.7)h, (6.4 ± 1.7)d vs (10.0 ± 1.5)d, 4.0% vs 12.0%]. There were significant differences between the two groups (P<0.05).
Rapid rehabilitation surgery concept is a scientific and effective nursing concept, operation room nursing applied in patients undergoing laparoscopic gastrointestinal surgery, can improve the nursing effect, can reduce the incidence of complications, worthy of promotion and use in clinical practice.