体外循环心脏患者围术期护理中应用快速康复理念的效果分析

Application of rapid rehabilitation concept in perioperative nursing care for patients taking cardiopulmonary bypass

目的探究体外循环心脏患者围术期护理中应用快速康复理念的效果。方法将2017年2月至2018年2月的94例体外循环心脏手术的患者应用随机数字表的方式平均分为实验组与对照组,分别于实验组与对照组应用快速康复理念及常规护理干预方式进行围术期护理,对患者的临床指标和术后出现并发症的概率进行对比分析。结果实验组的拔管时间[(9.36±2.42)h]、首次排气时间[(23.12±5.15)h]、首次排便时间[(46.58±5.36)h]和住院时长[(11.96±4.08)d]均显著短于对照组,实验组的切口感染、尿潴留及术后出血发生率显著低于对照组(2.13%比21.28%),差异有统计学意义(P<0.05)。结论对体外循环心脏手术的患者进行围术期护理的过程中,采用快速康复理念进行干预,有利于提升患者康复速度,减少术后并发症的发生概率,护理价值较高。

Objective To explore the effect of application of rapid rehabilitation concept in perioperative nursing care for patients taking cardiopulmonary bypass. Methods 94 patients taking cardiopulmonary bypass between February, 2017 and February, 2018 at our hospital were randomly divided into an experimental group and a control group. The experimental group received perioperative nursing care according to rapid rehabilitation concept, and the control group conventional perioperative nursing care. The clinical indicators and the incidence of the postoperative complications were analyzed. Results The extubation time, the first exhaust time, the first defecation time, and the length of hospital stay were (9.36±2.42) h,(23.12±5.15) h,(46.58±5.36) h, and (11.96±4.08) d in the experimental group, which were significantly shorter than those in the control group. The incidence of incision infection, urinary retention and postoperative bleeding was significantly lower in the experimental group than in the control group (2.13% vs. 21.28%, P < 0.05). Conclusion Application of rapid rehabilitation concept in perioperative nursing care for patients taking cardiopulmonary bypass is helpful to improve their recovery speed and reduce postoperative complications, and the nursing value is high.