肝硬化门脉高压症脾切除术的围手术期临床护理效果分析

Clinical Nursing Effect of Splenectomy in Cirrhotic Portal Hypertension Patients During Perioperative Period

目的了解肝硬化门脉高压症脾切除术患者的围手术期临床护理效果。方法选取2014年2月—2017年3月我院外科接收的肝硬化门脉高压症脾切除术患者340例作为研究对象。将其随机分为两组,对照组和观察组。对照组常规护理;观察组给予围手术期护理。对比两组患者的指标差异。结果观察组患者的手术时间、术中出血量、术后住院时间及并发症发生率均少于对照组患者;且观察组患者对护理人员的满意程度高于对照组患者,差异具有统计学意义(P<0.05)。结论肝硬化门脉高压症脾切除术患者实施围手术期护理可以减少患者手术和术后住院时间,同时也可减少患者在术中的出血量,降低术后并发症的发生率,增强患者对护理人员的满意程度。

Objective To investigate the liver cirrhosis with portal hypertension splenectomy perioperative clinical nursing effect. Methods From February 2014 to March 2017, 340 patients with portal hypertension splenectomy received by surgery in our hospital were selected as the study subjects. They were randomly divided into two groups, the control group and the observation group. The control group was given routine nursing, and the observation group was given perioperative nursing. The difference between the two groups was compared. Results The time of operation, the amount of bleeding in the operation, the time of postoperative hospitalization and the incidence of complications in the observation group were less than those of the control group. And the satisfaction degree of the patients in the observation group was higher than that of the control group, and the difference was statistically significant （P 〈 0.05）. Conclusion Perioperative care for patients with cirrhosis of the portal hypertensive splenectomy can reduce the patient＇s operation and postoperative hospitalization. At the same time, it can also reduce the amount of bleeding in the operation, reduce the incidence of postoperative complications, and enhance the satisfaction of the patients to the nursing staff.