快速康复护理路径在腹腔镜阑尾切除术围手术期的应用

Application of rapid rehabilitation nursing pathway in perioperative period of laparoscopic appendectomy

目的观察快速康复外科理念在腹腔镜阑尾切除围手术期应用的效果。方法将210例行腹腔镜阑尾切除术的患者随机分为观察组和对照组,各105例。观察组在围手术期实施快速康复护理路径,对照组采用常规互利。观察两组的术后恢复情况、总住院时间和费用、并发症发生率、护理满意度等指标。结果观察组在术后首次进食时间、肛门排气时间、下床活动时间、刀口拆线时间、总住院时间、总住院费用、刀口疼痛情况、并发症发生率等各项指标均优于对照组(P<0.05)。结论快速康复外科理念可健康胃肠功能恢复,减少并发症,缩短住院时间,减少住院费用,有临床推广价值。

Objective To observe the effect of rapid rehabilitation surgery in perioperative period of laparoscopic appendectomy.Methods210cases of laparoscopic appendectomy were randomly divided into the observation group and the control group,105cases each.The observation group was given rapid rehabilitation nursing care in perioperative period,and the control group was given routine and mutual benefit.The postoperative recovery,total hospitalization time and expenses,complication rate and nursing satisfaction degree of the two groups were observed.Results Many indexes of the observation group,such as the first postoperative feeding time,anal exhaust time,ambulation time,suture removal time,total hospitalization time,hospitalization expenses,incision pain,complication rate,were better than the control group(P<0.05).Conclusion The concept of rapid rehabilitation surgery can be beneficial to the recovery of gastrointestinal function,reduce complications,shorten hospital stay and reduce hospitalization expenses,and has clinical value.