早期进食及活动干预对腹腔镜胆囊切除术患者术后胃肠功能恢复的影响

EFFECT OF EARLY EATING AND ACTIVITY INTERVENTION ON POSTOPERATIVE RECOVERY OF GASTROINTESTINAL FUNCTION IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

目的探讨早期进食和活动干预对腹腔镜胆囊切除术(LC)患者术后胃肠蠕动功能影响。方法采用便利抽样方法选取2014年2月—2015年4月在该院普外科住院行LC治疗的胆囊良性病变患者160例,按照随机数字表法分为观察组和对照组,每组各80例患者,观察组患者给予全麻术后常规护理、呼吸道、口腔及泌尿道护理等。观察组在给予对照组护理的基础上实施早期进食干预和早期活动干预。对比分析二组患者肠鸣音恢复时间、肛门排气时间、肛门排气时间、术后住院时间、腹胀发生率及患者满意度等。结果观察组患者肠鸣音恢复时间、肛门排气时间、肛门排气时间、术后住院时间分别为(9.8±2.1)h、(24.6±4.8)h、(44.3±7.5)h、(3.1±1.1)d,均低于对照组患者,差异有统计学意义(P<0.01);观察组患者腹胀发生率为11.25%,较对照组患者腹胀发生率为25.56%低,差异有统计学意义(P<0.05);观察组患者对治疗效果、服务态度、护理操作、治疗环境、知识宣传等满意度高于对照组患者,差异有统计学意义(P<0.01)。结论早期进食和活动干预可明显改善腹腔镜胆囊切除术患者术后胃肠功能恢复,缩短患者住院时间,提高临床治疗效果和患者对治疗和护理的满意度。

Objective To investigate the effect of early feeding and activity intervention on postoperative gastrointestinal motility in patients undergoing laparoscopic cholecystectomy.Methods A total of 160 patients with benign gallbladder disease who were treated with LC in author＇s hospital from April 2015 to February 2014 were randomly divided into observation group and control group with80 patients in each group.The observation group was treated with early intervention and early intervention based on the control group.Comparative analysis was performe on two groups of patients with bowel sounds recovery time,anal exhaust time,anal exhaust time,operation hospitalization time,abdominal distension,incidence and patient satisfaction.Results The borborygmus recovery time,anal exhaust time,anal exhaust time,operation hospitalization time of the observation group were（9.8±2.1）h,（24.6±4.8）h,（44.3±7.5）h,（3.1±1.1）d,respectively,and were lower than the patients in the control group,the differences were statistically significant（P 〈0.01）;The incidence of abdominal distension was 11.25%in the observation group,and 25.56%in the control group,their difference was statistically significant（P 〈0.05）;The patients in the observation group were significantly higher than those in the control group（P 〈0.01）.ConclusionEarly feeding intervention and activity intervention can significantly improve the recovery of gastrointestinal function in patients with laparoscopic cholecystectomy,shorten the length of hospital stay,and improve the clinical treatment effect and patient satisfaction with treatment and nursing.