外科管理在胃肠外科麻醉中的研究  

Application of rapid rehabilitation nursing in anesthesia for gastrointestinal surgery:Clinical effects and impact on gastrointestinal function

作　　者：姬长伟[1] 卢星[1] 沈潇骏 夏燕飞[1] 陈昌来[1] 

机构地区：[1]浙江医院麻醉科,浙江省杭州市310013

出　　处：《世界华人消化杂志》2017年第12期1098-1102,共5页World Chinese Journal of Digestology

摘　　要：目的观察外科管理在胃肠外科麻醉中的应用效果及对胃肠功能的影响.方法取2015-06/2016-08医院收治胃肠外科麻醉患者80例,采用随机数字法分为对照组(n=40)和观察组(n=40).对照组采用常规方法护理,观察组在对照组基础上联合快速康复外科管理,采用VAS评分量表对2组术前、术后1、3、6 h疼痛进行评估,记录2组术后肠蠕动恢复时间、肛门排气时间及排便时间及不良反应发生率等,比较2组护理效果及对胃肠功能的影响.结果观察组快速康复外科管理后苏醒时间、拔管时间、排气时间及住院时间,短于对照组(P<0.05);2组术前及术后6 h VAS评分比较差异无统计学意义(P>0.05);观察组术后1、3 h VAS评分,低于对照组(P<0.05);观察快速康复外科麻醉管理后肠蠕动恢复时间、肛门排气时间及排便时间,短于对照组(P<0.05);观察组术后并发症发生率为7.50%,对照组为20.00%,2组术后并发症发生率比较差异有统计学意义(P<0.05).结论胃肠外科麻醉患者在常规护理基础上联合快速康复外科管理效果理想,能促进胃肠功能恢复,值得推广应用.AIM To observe the clinical effects of rapid rehabilitative nursing in anesthesia for gastrointestinal surgery and its impact on gastrointestinal function. METHODS Eighty patients who would undergo gastrointestinal surgery at our hospital from June 2015 to August 2016 were randomly divided into a control group （n = 40） and an observation group （n = 40）. Both groups were given conventional nursing, and the observation group was additionally given rapid rehabilitation nursing. VAS scores before surgery and at 1, 3, and 6 h after surgery, times to intestinal peristalsis recovery, anal exhaust, and defecation, adverse reaction, and gastrointestinal function were compared between the two groups. RESULTS Times to awakening and extubation and length of hospitalization were significantly shorter in the observation group than in the control group （P 〈 0.05）. There was no significant difference in VAS scores between the two groups before and after surgery （P 〈 0.05）. Times to intestinal peristalsis recovery, anal exhaust, and defecation were significantly shorter in the observation group than in the control group （P 〈 0.05）. The incidence of postoperative complications was 7.50% in the observation group and 20.00% in the control group. There was a significant difference in the incidence of postoperative complications between the two groups （P 〈 0.05）. CONCLUSION Application of rapid rehabilitation nursing in anesthesia for gastrointestinal surgery has good clinical effects and can promote gastrointestinal function recovery.

关 键 词：外科管理 常规护理 胃肠外科麻醉 胃肠功能 

分 类 号：R473.6[医药卫生—护理学]