结石性胆囊炎行胆囊切除手术围术期应用辨证护理的效果

Effect of Syndrome Differentiation Nursing in Perioperative Period of Cholecystectomy for Calculous Cholecystitis

目的探究辨证护理运用于接受胆囊切除术的结石性胆囊炎患者的围术期护理效果。方法方便收集2017年2月—2019年2月期间拟行胆囊切除术的结石性胆囊炎患者100例,随机分为对照组(常规围术期护理)与观察组(常规围术期护理+辨证护理)各50例,对比两组干预效果。结果①观察组患者的术后1 d[(4.43±1.52)分]、2 d[(3.32±1.20)分]以及3 d[(2.26±0.53)分]VAS评分均低于对照组[(5.58±1.22)分]、[(3.92±1.02)分]、[(3.31±0.22)分](t=4.172、2.694、12.938,P<0.05)。②观察组患者的首次排气时间[(10.68±2.27)h]、肠鸣音恢复时间[(6.55±1.22)h]、拔除引流管时间[(29.39±3.58)min]均早于对照组[(19.873.68)h]、[(11.56±2.61)h]、[(49.36±2.20)min](t=15.029、12.296、33.606,P<0.05);③两组并发症发生率对比(P>0.05);观察组的各项不适症状改善时间均短于对照组(P<0.05)。结论辨证护理运用于接受胆囊切除术的结石性胆囊炎患者的围术期护理能有效减轻患者的术后疼痛感,促进患者早期康复,缩短并发症持续时间,其运用效果显著,值得大力推广。

Objective To explore the perioperative nursing effect of syndrome-based nursing for patients with calculous cholecystitis undergoing cholecystectomy.Methods Convenient elect 100 patients with calculous cholecystitis who underwent cholecystectomy between February 2017 and February 2019 were randomly divided into control group(conventional perioperative nursing)and observation group(conventional perioperative nursing+syndrome differentiation nursing)50 cases each,comparing the effects of the two groups of interventions.Results 1.The VAS scores of the observation group were lower than those of the control group at 1 d[(4.43±1.52)points],2 d[(3.32±1.20)points],and 3 d[(2.26±0.53)points][(5.58±1.22)points],[(3.92±1.02)points],[(3.31±0.22)points](t=4.172,2.694,12.938,P<0.05).2.The first exhaust time of the observation group[(10.68±2.27)h],the recovery time of bowel sounds[(6.55±1.22)h],and the time of removal of the drainage tube[(29.39±3.58)points]were earlier than the control group[(19.87±3.68)h],[(11.56±2.61)h],[(49.36±2.20)points](t=15.029,12.296,33.606,P<0.05);3.the incidence of complications in the two groups(P>0.05);the improvement time of the discomfort in the observation group was shorter than the control group(P<0.05).Conclusion The perioperative nursing of patients with calculous cholecystitis undergoing cholecystectomy can effectively alleviate postoperative pain,promote early recovery and shorten the duration of complications.The application effect is significant and it is worth promoting.