肝叶切除术的围手术期护理观察

Perioperative Nursing Observation of Liver Resection

目的:观察肝叶切除术的围手术期护理方法及效果。方法:选取本院2015年1月-2017年4月收治的肝叶切除术患者56例作为研究对象,依据护理方法不同将患者分为综合护理组和基础护理组,每组各28例,对两组患者术后肛门排气时间、下床活动时间、住院时间、住院费用、VAS评分、术后并发症发生情况进行统计分析。结果:综合护理组患者术后肛门排气时间、下床活动时间、住院时间均显著短于基础护理组(P<0.05);综合护理组患者VAS评分显著低于基础护理组(P<0.05);综合护理组患者术后并发症发生率14.3%显著低于基础护理组35.7%(P<0.05)。结论:肝叶切除术的围手术期综合护理较基础护理效果好,更能有效缩短患者的术后肛门排气时间、下床活动时间、住院时间,缓解患者疼痛,减少患者术后并发症,且不会增加患者住院费用。

ObjectiveTo observe the nursing method and effect of perioperative care in liver resection.Method：56 cases of liver resection from January 2015 to April 2017 in our hospital were selected as the subjects,according to the nursing method,they were divided into comprehensive nursing group and basic nursing group,28 cases in each group,the postoperative anal exhaust time,ambulation time,length of hospital stay,hospital expenses,VAS score,postoperative complications of two groups were compared and analyzed.Result：The postoperative anal exhaust time,ambulation time,hospitalization time of the comprehensive nursing group were significantly shorter than those of the basic nursing group（P〈0.05）;the VAS score in comprehensive nursing group was significantly lower than that of the basic nursing group（P〈0.05）;the total postoperative complications rate in the comprehensive nursing group was 14.3% significantly lower than 35.7% in the basic nursing group（P〈0.05）.Conclusion：The liver resection of comprehensive perioperative nursing is better than that of basic nursing,more can effectively shorten the patients’ postoperative anal exhaust time,ambulation time,hospitalization time,relieve patients’ pain,reduce the postoperative complications,and doesn’t increase patients’ hospitalization expenses.