87例腹腔镜结肠切除手术护理干预措施及效果  

Nursing intervention and effect of 87 cases of laparoscopic colectomy

作　　者：方思敏 周爱梅[1] 陈华珍 Fang Simin;Zhou Aimei;Chen Huazhen(Department of General Surgery,Jiujiang First People＇s Hospital,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市第一人民医院普外科,江西九江332000

出　　处：《当代医学》2018年第33期115-117,共3页Contemporary Medicine

摘　　要：目的探究腹腔镜结肠切除手术护理干预措施及效果。方法随机收集本院收治的87例腹腔镜结肠切除手术患者,2015年1月～2017年12月为研究时段,以入院顺序奇偶性分组,分试验组(n=44)与对照组(n=43)。对照组采纳常规护理,试验组采纳快速康复理念。比较术后恢复情况、血清蛋白相关含量以及并发症。结果两组术前Hb、ALB指标比较差异无统计学意义;与对照组肛门首次排气时间以及住院时间比较,试验组较短,与对照组术后Hb、ALB指标比较,试验组较高,与对照组并发症发生率比较,试验组较低,差异具有统计学意义(P<0.05)。结论快速康复理念可有效缩短腹腔镜结肠切除手术患者的住院时间,减少并发症,效果确切,值得借鉴。Objective To explore the nursing intervention and effect of laparoscopic colectomy. Methods Eighty-seven patients undergoing laparoscopic colectomy were randomly enrolled in our hospital. From January 2015 to December 2017, the study period was divided into groups according to the order of admission. The test group （n=44） and the control group （n=43）. The control group adopted routine care and the trial group adopted the concept of rapid rehabilitation. Postoperative recovery, serum protein related levels, and complications were compared. Results There was no significant difference in the preoperative Hb and ALB indexes between the two groups. Compared with the control group, the initial exhaust time and hospitalization time of the anus were shorter. Compared with the control group, the Hb and ALB indexes were higher. Compared with the complication rate of the control group, the experimental group was lower, and the difference was statistically significant （P〈0.05）. Conclusion The concept of rapid rehabilitation can effectively shorten the hospitalization time and reduce complications of patients undergoing laparoscopic colectomy. The effect is exact and worth learning.

关 键 词：腹腔镜结肠切除手术 FTS(快速康复理念) 效果 

分 类 号：R473.6[医药卫生—护理学]