加速康复外科护理模式在腹腔镜肝切除围手术期患者中的应用及对疼痛评分、康复情况的影响  

Application of Accelerated Rehabilitation Nursing Mode in Perioperative Laparoscopic Hepatectomy Patients and Its Influence on Pain Score and Rehabilitation

作　　者：郑淑琳 ZHENG Shulin(Department of Hepatobiliary Surgery,Putian First Hospital,Putian 351100,China)

机构地区：[1]莆田市第一医院肝胆外科,莆田351100

出　　处：《中国医药指南》2024年第18期40-43,共4页Guide of China Medicine

摘　　要：目的以采用腹腔镜肝切除术治疗的患者作为观察对象,以加速康复外科护理模式作为护理方法,就观察对象在围手术期采用上述护理方法对其疼痛评分和康复效果的临床影响进行深入分析和探讨。方法本文的观察对象为120例在我院行腹腔镜肝切除术治疗的患者,病例选取时间为2021年12月至2023年12月,依据围手术期不同的护理方法将其均匀分为两组,实施常规围手术期护理的60例患者命名为对照组,在围手术期实施加速康复外科护理的60例患者命名为观察组,对比两组术后不同时间点的疼痛程度、术后康复效果及并发症发生率。结果术后12 h、24 h、48 h、72 h的视觉疼痛模拟量表(VAS)评分比较,观察组均低于对照组(P<0.05);观察组的首次进食时间为(32.63±6.05)h、首次排气时间为(40.68±8.19)h、首次排便时间为(75.47±11.12)h、首次下床活动时间为(48.21±5.74)h,均短于对照组的(36.83±10.15)h、(46.06±12.04)h、(87.74±15.29)h、(58.13±10.78)h(P<0.05);并发症发生率比较,观察组低于对照组(P<0.05)。结论对于采用腹腔镜肝切除术治疗的患者而言,在其围手术期给予加速康复外科护理模式可获得良好的护理效果,不仅可以有效减轻其术后的疼痛程度,还可以提高其术后康复效果,减少并发症的发生。Objective The patients treated with laparoscopic hepatectomy as the observation objects and the accelerated rehabilitation surgical nursing mode as the nursing method,the clinical influence of the above nursing methods on the pain score and rehabilitation effect of the observation objects in the perioperative period was deeply analyzed and discussed.Methods The observation objects of this study were 120 patients undergoing laparoscopic hepatectomy in our hospital from December 2021 to December 2023.They were evenly divided into two groups according to different perioperative nursing methods.60 patients receiving routine perioperative nursing were named as the control group.Sixty patients with accelerated rehabilitation nursing in perioperative period were named as the observation group,and the pain degree,postoperative rehabilitation effect and complication rate of the two groups were compared at different time points.Results The visual pain simulation scores(VAS)at 12 h,24 h,48 h and 72 h were lower in the observation group than in the control group(P<0.05).In the observation group,the first feeding time was(32.63±6.05)h,the first venting time was(40.68±8.19)h,the first defecation time was(75.47±11.12)h,and the first getting out of bed time was(48.21±5.74)h.It was shorter than that of control group(36.83±10.15)h,(46.06±12.04)h,(87.74±15.29)h,(58.13±10.78)h(P<0.05).The incidence of complications in observation group was lower than that in control group(P<0.05).Conclusions For the patients treated with laparoscopic hepatectomy,the accelerated rehabilitation surgical nursing mode in the perioperative period can obtain good nursing effects,which can not only effectively reduce the degree of postoperative pain,but also improve the postoperative rehabilitation effect and reduce the occurrence of complications.

关 键 词：腹腔镜肝切除术 围手术期 加速康复外科护理模式 疼痛 康复效果 

分 类 号：R473.6[医药卫生—护理学] R657.3[医药卫生—临床医学]