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标准化呼吸功能锻炼流程联合快速康复外科护理对腹腔镜胰十二指肠切除术患者的影响

Effect of Standardized Respiratory Functional Exercise Procedures Combined with Fast Track Surgery Nursing on Patients Undergoing Laparoscopic Pancreaticoduodenectomy
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摘要 目的:探讨标准化呼吸功能锻炼流程联合快速康复外科(FTS)护理对腹腔镜胰十二指肠切除术(LPD)患者的影响。方法:回顾性选取2022年3月—2023年5月浙江省人民医院毕节医院收治的54例LPD患者。根据护理方式的不同将其分为对照组和观察组,各27例。对照组实施常规护理,观察组实施标准化呼吸功能锻炼流程联合FTS护理。比较两组围手术期指标,术前及术后1周肺功能、呼吸指标及并发症。结果:观察组胃管拔除时间、首次排便时间、半流饮食时间均早于对照组,住院时间明显短于对照组,差异有统计学意义(P<0.05)。术后1周,两组用力肺活量(FVC)、第一秒用力呼吸容积(FEV_(1))、FEV_(1)/FVC%均降低,观察组FVC、FEV_(1)、FEV_(1)/FVC%均高于对照组,差异有统计学意义(P<0.05)。术后1周,对照组呼吸频率(RF)较术前升高,两组血氧饱和度(SaO_(2))均较术前降低,观察组RF低于对照组,SaO_(2)高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:标准化呼吸功能锻炼流程联合FTS护理有助于加快LPD患者术后恢复。 Objective:To explore the effect of standardized respiratory functional exercise procedures combined with fast track surgery(FTS)nursing on patients undergoing laparoscopic pancreaticoduodenectomy(LPD).Method:Fifty-four patients with LPD admitted to Zhejiang Provincial People's Hospital Bijie Hospital from March 2022 to May 2023 were retrospectively selected.According to the different nursing methods,the patients were divided into control group and observation group,with 27 cases in each group.The control group received routine nursing,and the observation group received standardized respiratory function exercise combined with FTS nursing.The perioperative indexes,preoperative and postoperative 1 week lung function,respiratory indexes and complications were compared between the two groups.Result:The gastric tube removal time,first defecation time and half-flow diet time in the observation group were earlier than those in the control group,and the hospitalization time was significantly shorter than that in the control group,the differences were statistically significant(P<0.05).One week after surgery,forced vital capacity(FVC),forced respiratory volume in the first second(FEV_(1))and FEV_(1)/FVC%in both groups were decreased,and FVC,FEV_(1) and FEV_(1)/FVC%in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).One week after surgery,the respiratory frequency(RF)of the control group was higher than that before surgery,and the blood oxygen saturation(SaO_(2))of both groups were lower than that before surgery,the RF of the observation group was lower than that of the control group,and the SaO_(2) was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Standardization respiratory function exercise process combined with FTS nursing helps
作者 叶曼 YE Man(Zhejiang Provincial People's Hospital Bijie Hospital,Bijie 551700,China)
出处 《中外医学研究》 2024年第23期76-80,共5页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 腹腔镜胰十二指肠切除术 标准化呼吸功能锻炼流程 快速康复外科护理 肺功能 并发症 Laparoscopic pancreaticoduodenectomy Standardized respiratory function exercise procedures Fast track surgery nursing Lung function Complications
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