[1]王娟.快速康复外科指导护理干预肝胆外科围术期效果[J].西部中医药,2020,33(03):139-142.[doi:10.12174/j.issn.1004-6852.2020.03.40]
　WANG Juan.The Effects of Rapid Rehabilitation Surgical Nursing Intervention during Perioperative Period of Hepatobiliary Surgery[J].Western Journal of Traditional Chinese Medicine,2020,33(03):139-142.[doi:10.12174/j.issn.1004-6852.2020.03.40]
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快速康复外科指导护理干预肝胆外科围术期效果
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年03期
页码:
139-142
栏目:
出版日期:
2020-03-15

文章信息/Info

Title:
The Effects of Rapid Rehabilitation Surgical Nursing Intervention during Perioperative Period of Hepatobiliary Surgery
文章编号:
1004-6852(2020)03-0139-04
作者:
王娟
德阳市人民医院肝胆外科，四川 德阳 618000
Author(s):
WANG Juan
Department of Hepatobiliary Surgery, Deyang City People's Hospital, Deyang 618000, China
关键词:
肝胆外科; 胆道手术; 快速康复外科; 个性化护理
Keywords:
hepatobiliary surgery;  biliary tract surgery;  rapid rehabilitation surgery;  individualized nursing
分类号:
R473.6
DOI:
10.12174/j.issn.1004-6852.2020.03.40
摘要:
目的：探讨快速康复外科指导下护理干预在肝胆外科围术期中的应用价值。方法：将胆总管结石行腹腔镜下胆道镜检、胆总管切开取石者80例按照随机数字表法分为两组各40例。观察组实施以快速康复为基础的个体化护理，对照组行常规护理，比较两组出现相关并发症如胆道感染、伤口感染、引流管脱出或移位情况，统计术日晨两组患者机体应激情况，分析术后12、24、48 h疼痛情况，统计两组术后下床时间、总住院时间及伤口拆线时间，统计出院时两组患者生活质量及睡眠质量。结果：观察组出现胆道感染、伤口感染、引流管脱出或移位的总比例低于对照组(P＜0.05)，术日晨观察组应激激素皮质醇、肾上腺素及去甲肾上腺素水平均低于对照组(P＜0.05)，观察组术后12、24、48 h疼痛VAS评分低于对照组(P＜0.05)，观察组术后下床时间早于对照组(P＜0.05)，总住院时间少于对照组(P＜0.05)，伤口拆线时间早于对照组(P＜0.05)，出院时观察组患者生活质量及睡眠质量优于对照组(P＜0.05)。结论：快速康复外科护理能有效提高患者手术治疗效果，减少并发症，促进术后康复。
Abstract:
Objective: To discuss the application value of rapid rehabilitation surgery nursing intervention during the perioperative period of hepatoiliary surgery. Methods: Eighty patients who suffered choledocholithiasis, accepted laparoscopic choledochoscopy to remove the stones after the incision of common bile duct were divided into two groups according to random number table method. The observation group was given individualized nursing based on rapid rehabilitation, and the control group conventional nursing, to compare the associated complications including infection of biliary tract, wound infection, drainage tube prolapse or displacement, to count the conditions of physical stress in both groups in the morning of the surgical day, analyze the pain conditions 12, 24 and 48 hours after the operation, to count the time of getting out of bed after the operation, total hospitalization time and the time of removing stitches in both groups, quality of life and sleep quality when discharged. Results: The observation group was lower than the control group in total proportion of appearing the infection of biliary tract, wound infection, drainage tube prolapse or displacement (P＜0.05), in the average levels of stress hormones cortisol, epinephrine and norepinephrine in the morning of surgical day (P＜0.05), in VAS scores 12, 24 and 48 hours after the surgery (P＜0.05), the observation group was shorter than the control group in the time of getting out of bed after the operation (P＜0.05), less than the control group in total hospitalization time (P＜0.05), earlier than the control gorup in the time of removing wound stitches (P＜0.05), the observation group was superior to the control group in quality of life and sleep quality when discharged (P＜0.05). Conclusion: Rapid rehabilitation surgery nursing intervention could effectively raise surgical therapeutic effects, reduce the complications and promote postoperative rehabilitation.

备注/Memo

备注/Memo:
收稿日期：2019-06-27作者简介：王娟(1979—)，女，主管护师。研究方向：肝胆外科护理。
更新日期/Last Update: 2020-03-15