不同下床活动时间对肝移植患者术后康复的影响

Effect of different time spans for off-bed activities on postoperative rehabiliatioin of patients with liver transplantation

目的探讨不同下床活动时间对肝移植术后患者康复的影响。方法收集2014年1月～2015年6月本院收治的肝移植术后第3天下床活动的42例患者（观察组）的临床资料，同期收集一般资料与观察组匹配的下床活动时间为术后第4天的44例患者（对照组）的临床资料，记录两组患者肛门排气时间、胃管留置及尿管留置时间和腹腔出血、胸腔积液、肺部感染并发症发生情况。结果观察组患者肛门排气时间、胃管和尿管留置时间均短于对照组，差异均有统计学意义（P〈0．05）。两组术后并发症发生率比较，差异均无统计学意义（P〉0．05）。结论肝移植术后第3天下床活动是可行的、安全的，并促进了患者的康复进程。

Objective To explore the effects of different time spans for off-bed activities on postoperative rehabiliatioin of patients with liver transplantation. Methods The clinical data of 42 patients having undergone allogeneic liver transplantation during Jan. 2014 to Oct. 2015 were assigned as the observation group. Another 44 patitents during the same period, matched to those in the observation group in terms of general data, were assigned as the control group. The clinical data of two groupos were reviewed to make comparisons in terms of the time for anus exhaust, the time spans for gastric tube and urinary catheter indwelling, abdominal cavity effusion and hemorrhage and pulmonary infection 3 days after operation. Result The time for anus exhaust and the time spans for gastric tube and urinary catheter indwelling in the observation group were all significantly shorter than the control gorup（P 〈0.05）,but there were insignifiant differences between the groups in abdominal cavity effusion and hemorrhage and pulmonary infection.Conclusion Off-bed activities 3 days after operation is safe and feasible for the patients having undergone allogeneic liver transplantation. It can promote their process of rehabilitation.