论文部分内容阅读
目的探讨快速康复外科在肝胆外科围手术期护理中的应用效果。方法选择该院肝胆外科2015年3月—2016年3月收治的行手术治疗的100例患者进行分析研究,按照入院先后顺序分为对照组和观察组,对照组在围手术期内给予常规护理,观察组采用快速康复外科理念护理,评价两组患者的情况。结果实施快速康复护理路径的观察组患者的术中出血量与术后并发症少于实施常规护理的对照组,两组差异有统计学意义;实施快速康复护理路径的观察组患者的满意度高于实施常规护理的对照组,两组差异有统计学意义。结论肝胆外科需手术治疗的患者,在围手术期内采用快速康复外科方案后临床效果恢复较为明显,缩短了患者的首次排气时间、首次排便时间以及住院时间,降低了患者的IL-6、TNF-α以及并发症的发生率,提高患者的生存率,值得在临床上推广应用。
Objective To explore the application effect of rapid rehabilitation surgery in perioperative nursing of hepatobiliary surgery. Methods 100 patients undergoing surgery in our hospital from March 2015 to March 2016 were selected and analyzed. According to the order of admission, the patients were divided into control group and observation group. The control group received routine nursing during perioperative period , The observation group using rapid rehabilitation surgical concept of care, evaluation of two groups of patients. Results The patients in observation group who underwent rapid rehabilitation nursing pathology were less likely to have intraoperative blood loss and postoperative complications than the control group who underwent routine nursing care. The differences between the two groups were statistically significant; patients in observation group who had rapid rehabilitation nursing path were highly satisfied The control group in the implementation of routine care, the two groups were statistically significant. Conclusions In patients undergoing hepatobiliary surgery, the rapid recovery of the surgical regimen during the perioperative period is more obvious, which can shorten the time of first excretion, the time of first defecation and the length of hospital stay, and reduce the level of IL-6, TNF-α and the incidence of complications to improve the survival rate of patients, it is worth in the clinical application.