快速康复外科护理在胆结石手术患者中的应用效果  

Effect of nursing in enhanced recovery on postoperative rehabilitation in patients after cholelithiasis operation

作　　者：匡姣[1] 钟瑞莹 古维立[1] 翁杰锋[1] 张焕玲[1] KUANG Jiao;ZHONG Ruiying;GU Weili;WENG Jiefeng;ZHANG Huanling(Department of Hepatobiliary Surgery,Guangzhou First People's Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院肝胆外科,广州510180

出　　处：《广州医药》2022年第4期92-95,共4页Guangzhou Medical Journal

基　　金：广州市临床高新、重大和特色技术项目(2019TS44)。

摘　　要：目的针对胆结石手术患者,评价应用快速康复外科(ERAS)理念辅助护理的实践效果,同时分析其对患者术后并发症以及机体康复情况的影响。方法选取本院在2019年8月—2020月5月间收治的84例胆结石手术患者为研究对象,采取随机数字表法对纳入患者进行随机分组:实施常规护理干预的患者作为本研究的对照组,实施快速康复外科护理干预的患者作为本研究的干预组;对比术后患者并发症发生情况及恢复情况。结果干预组患者术后拔管、首次肛门排气、排便及住院时间较对照组均有缩短(P<0.05);且干预组穿孔、感染、胰腺炎等总并发症发生几率低于对照组(2.38%vs 14.28%,P<0.05)。结论在护理胆结石手术患者中,采取快速康复外科护理干预可有效预防多种术后并发症的发生,并能够有效加快患者术后康复进程,建议推广。Objective To evaluate the practical effect of assisted nursing with the concept of enhanced recovery after surgery(ERAS)for patients underwent cholelithiasis surgery,and analyze its impact on postoperative complications and physical rehabilitation.Methods Eighty-four patients underwent cholelithiasis operation in our hospital from August,2019 to May,2020 were selected as the research objects,and the patients were randomly divided into two groups by random number table.The control group was given routine nursing intervention,while the observation group was given nursing intervention based on ERAS.The postoperative complications incidence and recovery of patients were compared.Results Data showed that the postoperative extubation time,first anal exhaust,defecation time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(2.38%vs 14.28%,P<0.05).Conclusions In nursing patients undergoing cholelithiasis surgery,ERAS nursing intervention can effectively prevent the occurrence of a variety of postoperative complications,and can effectively speed up the process of postoperative rehabilitation,which is recommended to popularize.

关 键 词：快速康复外科护理 胆结石手术 康复效果 并发症 

分 类 号：R473.6[医药卫生—护理学]