肝胆管结石合并门脉高压围手术期快速康复护理

Rapid Rehabilitation Nursing in Perioperative Period for Patients with the Intrahepatic Lithiasis and Portal Hypertension

目的:探讨肝胆管结石合并门脉高压围手术期快速康复护理临床效果。方法:将60例肝胆管结石合并门脉高压症患者随机分为快速康复组和传统护理组,每组各30例。观察2组患者术后下床活动时间、进食时间、首次排便时间、住院时间、住院总费用和并发症发生率。结果:快速康复组术后下床活动、进食、首次排便时间提前,住院时间缩短,住院总费用减少(P<0.05)。2组并发症发生率比较无显著性差异(P>0.05)。结论:肝胆管结石合并门脉高压围手术期快速康复护理是安全和有效的,可加快患者康复。

Objective: To investigate the safety and effectiveness of rapid rehabilitation nursing in perioperative period for patients with the intrahepatic lithiasisand Portal Hypertension. Methods: 60 patients with intrahepatic lithiasis and portal hypertension were randomly designated into observation group( rapid rehabilitation nursing in perioperative period) and control group( traditional nursing in perioperative period). The postoperative bowel flatus,first defecation,hospital stay,hospitalization cost,and postoperative complication were compared in the two groups. Results: In the rapid rehabilitation nursing group,reduced the time of ambulation,food intake,flatus passed,hospital stay; and reduced total cost( P < 0. 05). The complications in the two groups showed no difference( P > 0. 05). Conclusion: Application of rapid rehabilitation nursing in perioperative management for patients with intrahepatic lithiasis and portal hypertension are safe and effective and can accelerate recovery of the patients.