强化康复护理计划在膀胱切除术患者中的应用分析

Application Analysis of the Enhanced Recovery Program in Patients with Cystectomy

目的探究膀胱癌根治术后强化康复护理计划对患者康复的影响。方法选取2018年3月至2019年3月,于攀枝花市中西医结合医院行根治性膀胱切除术(RC)和尿流改道患者80例为研究对象,按照随机数字表法分为试验组和对照组,每组40例。对照组给予常规护理,试验组给予强化康复护理,比较两组患者术后住院时间、早期并发症发生情况、30 d死亡率和再入院率。结果试验组患者住院时间(7.53±1.94)d和对照组(13.36±0.51)d比较,差异有统计学意义(P<0.05);两组术后肠梗阻、尿路源性感染、非尿路源性感染和伤口裂开等并发症发生情况比较,差异无统计学意义(P>0.05);试验组房颤发生率低于对照组,差异有统计学意义(P<0.05)。两组30 d再入院率、死亡率比较,差异无统计学意义(P>0.05)。结论与常规护理相比,对膀胱癌行RC患者实施强化康复护理计划有助于加快患者康复,降低患者住院时间;患者术后并发症发生率、30 d死亡率和再入院率并未增加。

Objective To explore the effect of the enhanced recovery program(ERP)on the patients with cystectomy.Methods A total of 80 patients treated with radical cystectomy and urinary diversion from March of 2018 to March of 2019 in Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine were selected and divided into the experiment group and control group with 40 cases in each group according to the random number table.The control group was given the conventional care,while the experiment group was treated by ERP.The postoperative hospitalization time,incidence of early complications,mortality and readmission rate were compared between the two groups.Results The hospitalization time was(7.53±1.94)days in the experiment group and(13.36±0.51)days in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidences of postoperative intestinal obstruction,urinary tract infection,non-urinary tract infection and wound dehiscence between the two groups(P>0.05).The incidence of atrial fibrillation in the experiment group was significantly lower than that in the control group(P<0.05).There were no significant differences in the incidences of mortality and the readmission rates with in 30 days(P>0.05).Conclusion Compared with the conventional care,ERP is helpful to accelerate the recovery of patients with cystectomy by reducing the hospitalization time without increasing the incidences of postoperative complications,the mortality and the readmission rates within 30 days.