摘要
目的探讨肝切除术患者围手术期采用快速康复外科理念进行护理的临床效果。方法2014年1月～2016年3月于我科行肝切除术患者123例作为研究对象，将其随机分为实验组和对照组分别为72例和51例，实验组患者按照快速康复外科理念进行护理，对照组给予常规护理，比较两组患者的术后相关资料以及并发症的发生情况。结果实验组患者术后第1、3、5天的VAS评分均低于对照组，同时实验组患者首次排气早于对照组，患者对护理的满意度明显高于对照组；实验组和对照组并发症的发生率分别为16．67％和37．25％，两组比较差异具有统计学意义（P〈0．05）；经比较对照组的住院时间明显长于实验组（P〈0．05），并且所花费费用明显高于对照组（P〈0．05）。结论应用快速康复外科理念对肝切除术患者进行围手术期的护理具有较好的临床效果，患者住院时间明显缩短，并且能明显提高患者对护理的满意度，适合在临床上推广应用。
Objective To investigate the clinical effect of rapid rehabilitation surgery nursing in patients with liver resection. Methods 123 cases of patients with liver resection cured in our department from January 2014 to March 2016 were selected as the research object. They were randomly divided into experimental group and control group with 72 cases and 51 cases in each group. Patients in the experimental group were treated with rapid rehabilitation surgery nursing, and patients in control group were treated with routine nursing. And the postoperative related data and complication occurrence between the two groups were compared. Results The VAS scores after the 1st, 3rd and 5th day of the experimental group were significantly lower than those of the control group, and the first exhaust time of the experimental group was earlier than that of the control group. The patients＇ satisfaction about nursing of the experimental group was significantly higher than that of control group. The complications incidence rates of the experimental group and the control group were 16.67% and 37.25%, and the differences between the two groups were statistically significant（P 〈 0.05）. Compared with the experimental group, the hospitalization time of the control group was significantly longer（P 〈 0.05）. The cost of the experimental group was significantly higher than that of control group（P 〈 0.05）. Conclusion The clinical effect of rapid rehabilitation surgery nursing in patients with liver resection is good. The hospitalization time is significantly shortened. And it can significantly improve the patients＇ satisfaction about nursing. It is suitable for the popularization and application in clinic.
出处
《中国医药科学》
2016年第15期119-121,125,共4页
China Medicine And Pharmacy
关键词
快速康复
围手术期
肝切除术
护理
Rapid rehabilitation
Perioperative period
Liver resection
Nursing
