围手术期辨证施护对胆管结石手术效果的影响

Effect of Perioperative Syndrome Differentiation on Effect of Bile Duct Stones

目的:探讨围手术期辨证施护对胆管结石手术效果的影响。方法:选择手术治疗的76例胆管结石患者,按照随机数表法分为对照组和观察组,对照组采取常规治疗护理方法,观察组在此基础上采取辨证施护,对比分析两组的首次肛门排气时间、术后疼痛评分和患者满意度。结果:观察组首次肛门排气时间为(19.8±5.4)h,明显短于对照组(28.2±6.1)h,(P<0.05),观察组术后疼痛评分为(2.7±1.0)分,显著低于对照组(3.4±1.4),观察组患者满意度(4.5±0.2)分,高于对照组(3.0±0.1)分,(P<0.05)。结论:辨证施护对胆管结石手术能促进术后胃肠功能恢复,降低疼痛,得到患者满意。

Objective To investigate the effect of perioperative dialectical nursing on surgical treatment of bile duct stones.Methods Seventy-six patients with bile duct stones treated by operation were divided into control group and observation group according to random number table method.The patients in control group were given routine treatment and nursing.The patients in observation group were given dialectical nursing on this basis.The first anal exhaust time,post-operative pain score and patient satisfaction score of the two groups were compared and analyzed.Results The first anal exhaust time of the observation group was(19.8±5.4)h,significantly shorter than that of the control group[(28.2±6.1)h,P<0.05].The pain score of the observation group was 2.7±1.0,significantly lower than that of the control group(3.4±1.4).The patients’satisfaction score of the observation group was 4.5±0.2,higher than that of the control group(3.0±0.1,P<0.05).Conclusion Dialectical nursing can promote the recovery of gastrointestinal function and reduce pain after operation for bile duct stones,which is satisfactory to patients.