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作 者:王小霞 贺彩玲[2] WANG Xiao-xia;HE Cai-ling(Operation Room,Yan'an People's Hospital,Yan'an 716000,China;Ultrasound Diagnosis Department,Yan'an People's Hospital,Yan'an 716000,China)
机构地区:[1]延安市人民医院手术室,陕西延安716000 [2]延安市人民医院超声诊断科,陕西延安716000
出 处:《临床医学研究与实践》2020年第2期168-169,188,共3页Clinical Research and Practice
摘 要:目的探讨快速康复护理模式在腹腔镜肝切除术围手术期中的应用效果及对患者术后生活质量的影响。方法将92例腹腔镜肝切除术患者按照就诊时间不同分为对照组和观察组,各46例。对照组给予常规护理模式干预,观察组给予快速康复护理模式干预。比较两组的干预效果。结果观察组的首次下床活动时间、首次排便时间、首次排气时间和住院时间均显著短于对照组,术后2 d VAS评分显著低于对照组(P<0.05)。观察组的术后并发症总发生率显著低于对照组(P<0.05)。观察组的BP、PF、MH、RP、RE、GH、SF和VT评分均显著高于对照组(P<0.05)。结论快速康复护理模式应用于腹腔镜肝切除术中的效果显著,降低了术后疼痛程度和并发症发生率,提高了患者的生活质量,值得临床推广。Objective To explore the application effect of rapid rehabilitation nursing mode in perioperative period of laparoscopic hepatectomy and its influence on the quality of life of patients after operation. Methods A total of 92 patients with laparoscopic hepatectomy were divided into control group and observation group according to the different time of treatment, with 46 cases in each group. The control group was given routine nursing intervention, the observation group was given rapid rehabilitation nursing more intervention. The intervention effects were compared between the two groups. Results The first time of getting out of bed, the first time of defecation, the first time of exhaust, the time of hospitalization in the observation group were significantly shorter than those in the control group, and the VAS score at 2 days after operation was significantly lower than that in the control group(P<0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05). The scores of BP, PF, MH, RP, RE, GH, SF and VT in the observation group were significantly higher than those in the control group(P<0.05). Conclusion The rapid rehabilitation nursing mode application in laparoscopic hepatectomy has a significant effect, it reduces the degree of postoperative pain and the incidence of complications, and improves the quality of life of patients, which is worth promoting in clinical.
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