摘要
目的:探讨腹腔镜肝切除围术期快速康复模式对患者术后恢复的影响。方法:选取2020年1-8月福建医科大学附属第一医院收治的64例采取腹腔镜肝切除术进行治疗的患者,按照随机数字表法将其分为对照组和观察组,每组32例。对照组于围术期采取常规护理,观察组于围术期采取快速康复模式。比较两组手术指标、应激反应指标、疼痛评分。结果:观察组肛门排气、排便、下床活动及进食时间均早于对照组,差异均有统计学意义(P<0.05)。护理前,两组疼痛评分比较,差异无统计学意义(P>0.05);护理后,观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。术前,两组皮质醇和肾上腺素比较,差异均无统计学意义(P>0.05);术后,观察组皮质醇和肾上腺素均低于对照组,差异均有统计学意义(P<0.05)。结论:在腹腔镜肝切除术围术期应用快速康复模式对改善患者疼痛症状具有确切效果,对促进患者尽早康复具有确切效果,值得推广。
Objective:To investigate the effect of perioperative rapid rehabilitation mode of laparoscopic hepatectomy on the postoperative recovery of patients.Method:A total of 64 patients treated with laparoscopic hepatectomy in the First Affiliated Hospital of Fujian Medical University from January to August 2020 were selected,they were divided into control group and observation group according to random number table method,32 cases in each group.The control group received routine nursing during perioperative period,and the observation group received rapid rehabilitation mode during perioperative period.The surgical index,stress index and pain scores were compared between two groups.Result:The anal exhaust time,defecation time,getting out of bed and eating time of the observation group were earlier than those of the control group,the differences were statistically significant (P<0.05).Before nursing,there was no significant difference in pain scores between two groups (P>0.05);after nursing,the pain score of the observation group was lower than that of the control group,the difference was statistically significant (P<0.05).Before surgery,there were no significant differences in cortisol and epinephrine between two groups (P>0.05);after surgery,cortisol and epinephrine of the observation group were lower than those of the control group,the differences were statistically significant (P<0.05).Conclusion:The application of rapid recovery mode in the perioperative period of laparoscopic hepatectomy has a definite effect on improving the pain symptoms of patients,and has a definite effect on promoting the patients’ early recovery,which is worthy of promotion.
作者
王星
孙萍
WANG Xing;SUN Ping(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350000,China)
出处
《中外医学研究》
2022年第2期87-90,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
快速康复模式
腹腔镜肝切除术
围术期
Rapid recovery mode
Laparoscopic hepatectomy
Perioperative period
