围手术期护理对老年胃肠息肉患者术后并发症和创口愈合的影响

Effect of perioperative nursing on postoperative complications and wound healing of the elderly patients with gastrointestinal polypus

目的：探讨围手术期护理对老年胃肠息肉患者术后并发症和创口愈合的影响。方法选择行高频电凝切除术的老年胃肠息肉患者156例，按照随机数字表法将患者分为观察组和对照组，对照组给予高频电凝切除术后常规护理，观察组给予围手术期护理和疾病健康指导，对比分析两组术后并发症及创口愈合情况。结果观察组术后并发症发生率为3．85％，显著低于对照组的33．33％，差异有统计学意义（χ2＝22．407，P ＜0．01）；观察组术后3月手术创口愈合率为94．87％，显著高于对照组的71．80％，差异有统计学意义（χ2＝14．954，P ＜0．01）。结论在规范的围手术期护理和疾病健康指导下，老年胃肠息肉患者术后并发症明显较少，创口愈合率显著提高，值得临床应用推广。

Objective To investigate the effect of perioperative nursing on postoperative complications and wound healing of the elderly patients with gastrointestinal polypus.Methods 156 cases of elderly patients with gastrointestinal polyp using high frequency electrocoagulation resection were randomly divided into observation group and control group according to the random number table method,the control group was given routine nursing after high frequency electrocoagulation resection while the observation group was given the perioperative nursing and disease health guidance,postoperative complications and wound healing of the two groups were compared and analyzed. Results The occurrence rate of complications of the observation group was 3.85%,which was significantly lower than 33.33% of the control group,there was statistically significant difference between the two groups （χ2 =22.407, P 〈0.01）;The wound healing rate after 3 months of surgery of the observation group was 94.87%,which was signifi-cantly higher than 71.80% of the control group,there was statistically significant difference between the two groups （χ2 =14.954,P 〈0.01）.Conclusion Under the standard perioperative nursing and disease health guidance,the complications are significantly fewer after surgery in elderly patients with gastrointestinal polyp,their wound healing rate increased significantly,which is worthy of clinical application.