综合干预对冠状动脉支架置入术后腹腔镜胆囊切除患者的康复效果评估  

Rehabilitation effects of comprehensive intervention on patients undergoing laparoscopic cholecystectomy after coronary stenting implantation

作　　者：孙亚珂 骆成玉 曹广[1] 张红[1] Sun Yake;Luo Chengyu;Cao Guang;Zhang Hong(Department of General Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院普外科,100029

出　　处：《中国医药》2021年第4期567-569,共3页China Medicine

基　　金：北京市科技计划(Z131107002213145)。

摘　　要：目的探讨综合干预对冠状动脉支架置入术后接受腹腔镜胆囊切除术患者的临床效果。方法选取2017年1月至2019年8月于首都医科大学附属北京安贞医院行腹腔镜胆囊切除术的冠状动脉支架置入术后患者60例。根据随机数字表法分为观察组(31例)和对照组(29例)。对照组予围术期常规护理,观察组在对照组基础上予综合干预。比较2组手术时间、术中出血量、术后卧床时间、住院时间。记录术后第3天焦虑自评量表(SAS)评分,术后1、2、3 d视觉模拟量表(VAS)评分,出院前满意度调查表评分。结果2组手术时间、术中出血量比较差异均无统计学意义(均P>0.05)。观察组术后卧床时间、住院时间均短于对照组[(25.1±3.0)h比(31.6±3.2)h、(5.2±0.8)d比(7.2±0.3)d],差异均有统计学意义(均P<0.001)。观察组术后第3天SAS及术后1、2、3 d VAS评分均低于对照组,满意度调查表评分高于对照组[(125±18)分比(101±21)分],差异均有统计学意义(均P<0.001)。结论对行腹腔镜胆囊切除术的冠状动脉支架置入术后患者给予综合干预,可减轻患者术后焦虑、加快术后康复、提高满意度。Objective To explore the clinical effects of comprehensive intervention in patients undergoing laparoscopic cholecystectomy after coronary stenting implantation.Methods From January 2017 to August 2019,60 patients who underwent laparoscopic cholecystectomy after coronary stenting implantation in Beijing Anzhen Hospital,Capital Medical University were selected.The patients were randomly divided in control group(29 cases)and observation group(31 cases).The control group was given conventional nursing in perioperative period,and the observation group was given comprehensive intervention on the basis of control group.The operative time,intraoperative blood loss,postoperative bed time and the length of stay were compared between the two groups.The scores of self-rating anxiety scale(SAS)on the third day after operation,visual analogue scale(VAS)scores at 1,2,3 d after operation and satisfaction questionnaire before discharge were recorded.Results There were no differences in operative time and intraoperative blood loss between the two groups(both P>0.05).The postoperative bed time and the length of stay in observation group were shorter than those in control group[(25.1±3.0)h vs(31.6±3.2)h,(5.2±0.8)d vs(7.2±0.3)d](both P<0.001).The scores of SAS on the third day after operation and VAS on 1,2,3 d after operation in observation group were lower than those in control group,and the score of satisfaction questionnaire in observation group was higher than that in control group[(125±18)vs(101±21)](all P<0.001).Conclusion Application of comprehensive intervention in patients undergoing laparoscopic cholecystectomy after coronary stenting implantation can effectively reduce postoperative anxiety,accelerate postoperative rehabilitation and improve satisfaction.

关 键 词：腹腔镜胆囊切除术 冠状动脉支架置入术后 综合干预 围术期 

分 类 号：R657.4[医药卫生—外科学]