肝切除术后围手术期系统性引流管分类护理对患者并发症及预后的影响  

Influence of systematic drainage tube classification nursing on complications and prognosis of patients after hepatectomy

作　　者：马玉珍 MA Yuzhen(Hepatobiliary Pancreatic Surgery Department,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院肝胆胰外科,河南郑州450000

出　　处：《临床医学研究与实践》2020年第26期163-165,共3页Clinical Research and Practice

摘　　要：目的研究肝切除术后围手术期系统性引流管分类护理对患者并发症及预后的影响。方法将本院2018年1月至2018年12月收治的110例肝切除术患者采用随机数字表法分为对照组和试验组,各55例。对照组采用常规围手术期护理,试验组在对照组的基础上给予系统性引流管分类护理。比较两组的护理干预效果。结果试验组的手术相关指标(手术时间、术中出血量、输血量、术后排气开始时间、术后排气持续时间、住院时间)优于对照组,肝功能衰竭、切口出血、胆汁瘘及脓毒血症发生率均低于对照组(P<0.05)。干预后,两组各项生活质量评分均高于干预前,且试验组高于对照组(P<0.05)。试验组的护理满意度评分高于对照组,术后疼痛程度低于对照组(P<0.05)。结论给予肝切除术患者系统性引流管分类护理,能够有效降低患者术后并发症发生率,缓解术后疼痛,提高患者的生活质量和护理满意度。Objective To study the influence of systematic drainage tube classification nursing on complications and prognosis of patients after hepatectomy.Methods One hundred and ten patients with hepatectomy enrolled in our hospital from January 2018 to December 2018 were divided into control group and experimental group according to random number table method,with 55 cases in each group.The control group was given routine perioperative nursing,and the experimental group was given systematic drainage tube classification nursing on the basis of the control group.The effects of nursing intervention were compared between the two groups.Results The operation related indicators(operation time,intraoperative blood loss volume,blood transfusion volume,postoperative exhaust start time,postoperative exhaust duration and hospitalization time)of the experimental group were better than those of the control group,and the incidences of liver failure,incision bleeding,bile fistula and sepsis in the experimental group were lower than those in the control group(P<0.05).After intervention,the quality of life scores of the two groups were higher than those before intervention,and those of the experimental group were higher than the control group(P<0.05).The nursing satisfaction score of the experimental group was higher than that of the control group,and the postoperative pain degree was lower than that of the control group(P<0.05).Conclu sion Systematic drainage tube classification nursing for patients with hepatectomy can effectively reduce the incidence of postoperative complications,relieve postoperative pain,and improve the quality of life and nursing satisfaction of patients.

关 键 词：肝切除术 系统性引流管分类护理 预后 

分 类 号：R473.6[医药卫生—护理学]