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目的探讨加速康复外科理念在促进异位妊娠患者术后康复中的有效性和安全性。方法选取唐山市妇幼保健院于2012年2月—2013年11月收治的100例异位妊娠患者,按入院时间分为观察组和对照组,每组50例,观察组采用加速康复外科理念进行护理,对照组采用常规的围手术护理,比较二组患者肛门排气时间、禁食时间和营养对术后的影响、术后并发症发生情况、术后活动力恢复时间以及住院医药费和住院天数。结果与对照组相比,观察组患者术后首次肛门排气、停止输液时间以及活动时间均提前,术后体重下降量减小,并发症和住院时间减少,二组比较差异有统计学意义(P<0.05)。结论加速康复外科理念在异位妊娠患者围术期的应用不仅仅减少术后并发症、缩短住院时间以及医疗费用减少,同时提高患者住院期间及术后生活质量,有着一定的可行性和安全性,值得临床推广。
Objective To investigate the effectiveness and safety of the concept of accelerated rehabilitation surgery in postoperative rehabilitation of patients with ectopic pregnancy. Methods Totally 100 ectopic pregnancy patients who were admitted to Tangshan MCH from February 2012 to November 2013 were divided into observation group and control group according to the time of admission. Each group had 50 cases. The observation group was treated with the concept of accelerated rehabilitation surgery The patients in the control group were treated with routine perioperative nursing. The anal exhaust time, fasting time and nutrition were compared between the two groups. The incidence of postoperative complications, recovery time of postoperative activity, hospitalization and hospitalization Days. Results Compared with the control group, the first postoperative anal exhaust, stopping the infusion time and the activity time of the patients in the observation group were earlier than those in the control group. The weight loss decreased and the complications and hospitalization time decreased after the operation. The difference was statistically significant P <0.05). Conclusion The application of the concept of accelerated rehabilitation surgery during perioperative period in patients with ectopic pregnancy not only reduces postoperative complications, shorten the length of hospital stay and reduce medical costs, but also improve the hospitalization and postoperative quality of life of patients with a certain feasibility and safety , It is worth clinical promotion.