围手术期快速康复护理干预在腹腔镜胆囊切除术患者护理中的临床应用效果

Clinical effect of perioperative rapid rehabilitation nursing intervention in patients with laparoscopic cholecystectomy

目的探讨围手术期快速康复护理干预在腹腔镜胆囊切除术患者护理中的效果。方法选择我院行腹腔镜胆囊切除术的患者94例,依据入院顺序将患者分为观察组(48例)和对照组(46例)。对照组患者围手术期给予外科常规护理,观察组患者实施快速康复护理干预。比较两组术后首次排气时间、下床活动时间、胃肠功能恢复时间、住院时间及并发症发生情况。结果观察组患者术后首次排气时间、下床活动时间、胃肠功能恢复时间及住院时间均短于对照组(P<0.05);术后,观察组患者的严重疼痛、恶心呕吐的并发症发生率明显低于对照组(P<0.05)。结论对腹腔镜胆囊切除术患者实施快速康复护理干预可降低并发症发生率,缩短住院时间,促进患者早期康复。

Objective To explore the effect of perioperative rapid rehabilitation nursing intervention on patients with laparoscopic cholecystectomy. Methods A total of 94 patients with laparoscopic cholecystectomy in our hospital were selected and divided into observation group （48 cases） and control group （46 cases） according to admission order. The patients in the control group were given perioperative surgical routine nursing, the observation group accepted rapid rehabilitation nursing intervention. The first postoperative exhaust time, ambulation time, gastrointestinal function recovery time, hospital stays and complications were compared between the two groups. Results The first postoperative exhaust time, ambulation time, gastrointestinal function recovery time and hospital stays of the observation group were shorter than those of the control group （P〈0.05）. Postoperatively, the incidences of complications in severe pain, nausea and vomiting in the observation group were significantly lower than those in the control group （P〈0.05）. Conclusion The rapid rehabilitation nursing intervention on patients with laparoscopic cholecystectomy can reduce the incidence of complications, shorten hospitalization time and promote early recovery of patients.