快速康复外科理念对粘连性肠梗阻术后患者恢复进程及疼痛改善的影响  

Effect of Fast Rehabilitation Surgery Concept on the Recovery Process and Pain Improvement of Patients with Adhesive Intestinal Obstruction after Operation

作　　者：蔡秋军 张惠朱 CAI Qiujun;ZHANG Huizhu(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院

出　　处：《中外医学研究》2020年第2期105-107,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨快速康复外科理念对粘连性肠梗阻术后患者恢复进程及疼痛改善的影响.方法:选择2018年6月-2019年6月笔者所在医院收治的粘连性肠梗阻患者70例作为研究对象,采用随机数字表法将其分为对照组和观察组,每组35例.对照组给予常规护理,观察组在对照组基础上实施快速康复护理.比较两组术后各项康复指标、术后疼痛评分、术后并发症发生情况.结果:观察组术后肠蠕动恢复时间、术后下床时间、首次进食时间、住院时间均优于对照组,差异均有统计学意义(P<0.05);观察组术后3 h、12 h、1 d、2 d的疼痛程度评分均低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率(5.71%)低于对照组(25.71%),差异有统计学意义(P<0.05).结论:对粘连性肠梗阻术后实施快速康复护理,有助于加快患者的康复进程,降低患者的疼痛程度,减少患者的术后并发症发生率,值得推广应用.Objective:To explore the effect of rapid rehabilitation surgery on the recovery of postoperative patients and the improvement of pain.Method:Seventy patients with adhesive intestinal obstruction admitted to our hospital from June 2018 to June 2019 were selected as the study subjects.They were divided into the control group and the observation group by random number table method,with 35 cases in each group.The control group was given routine nursing,while the observation group was given rapid rehabilitation nursing on the basis of the control group.Rehabilitation indicators,postoperative pain scores and complications were compared between the two groups.Result:The recovery time of intestinal peristalsis,the time of getting out of bed,the time of first eating and the time of hospitalization in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).The scores of pain of 3 h,12 h,1 d and 2 d after operation in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.71%lower than that in the control group(25.71%),the difference was statistically significant(P<0.05).Conclusion:Fast rehabilitation nursing after operation for adhesive intestinal obstruction is helpful to accelerate the recovery process,reduce the pain degree and reduce the incidence of complications.It is worth popularizing and applying.

关 键 词：快速康复外科理念 粘连性肠梗阻术后 恢复进程 疼痛评分 并发症 

分 类 号：R473.6[医药卫生—护理学]