运用快速康复外科理念预防妇科腹腔镜术后腹胀的效果

Application of enhanced recovery after surgery in prevention of abdominal distension after gynecologic laparoscopic surgery

目的 探讨基于快速康复外科(ERAS)理念的护理干预在预防妇科腹腔镜手术后腹胀的效果.方法 选取2018年10月-12月妇科行腹腔镜手术的110例患者为研究对象,采用随机数字法将患者分为对照组和观察组,各55例.对照组采用常规护理,观察组在对照组基础上实施基于快速康复外科理念的护理干预.观察2组术后首次进食时间、首次下床活动时间、拔除尿管时间以及肛门排气时间,记录2组术后腹胀发生情况.结果 观察组术后首次进食时间、首次下床活动时间、拔除尿管时间以及肛门排气时间均短于对照组,差异有统计学意义(P<0.05).观察组术后腹胀发生率12.73% (7/55),低于对照组45.45%(25/55),差异有统计学意义(p<0.05).结论 实施基于ERAS理念的护理措施有利于促进患者术后胃肠功能的恢复,降低患者术后腹胀发生风险.

Objective To investigate the nursing interventions based on enhanced recovery after surgery(ERAS)in prevention of abdominal distension after gynecologic laparoscopic surgery. Methods Totally 110 patients undergoing gynecologic laparoscopic surgery were assigned to the control group and the observation group, with 55 cases in each group. All patients received routine care after the surgery, and those in the observation group were given nursing interventions based on ERAS. The time to first intake after the surgery, first time out of bed, time to catheter removal, anus exhausting time and incidence of abdominal distension were compared between two groups. Results The time to first intake after the surgery, first time out of bed, time to catheter removal, anus exhausting time in the observation group were earlier than those in the control group(P<0.05). The incidence of abdominal distension was 12.73%(7/55)in the observation group and was 45.45%(25/55)in the control group, with a significant difference(P<0.05). Conclusion The ERAS-based nursing interventions can effectively improve the recovery of gastrointestinal function and reduce the risk of abdominal distension after gynecologic laparoscopic surgery.