快速康复护理在肝胆外科微创手术患者中的临床效果分析

Analysis of Clinical Effect of Rapid Rehabilitation Nursing in Patients with Minimally Invasive Surgery in Hepatobiliary Surgery

目的探究快速康复护理在肝胆外科微创手术患者中的临床效果。方法将2019年1—10月这一时段内在该肝胆外科行微创手术的患者80例纳入研究,按照住院号单双数,将之分为两组,每组40例,对照组给予常规护理,观察组给予快速康复护理,对比两组护理效果。结果①观察组,术后首次排气时间为(30.12±5.43)h、术后首次离床活动时间为(25.47±6.58)h、排便时间为(58.60±10.52)h、住院时间为(7.51±2.19)d;均明显短于对照组的术后首次排气时间为(45.03±4.98)h、术后首次离床活动时间为(40.27±5.46)h、排便时间为(67.55±10.38)h、住院时间为(13.51±2.84)d;观察组术后首次排气时间、离床活动时间、排便时间及住院时间均明显短于对照组,两组数据差异有统计学意义(t=9.624、9.137、8.572、9.523,P<0.05)。②观察组术后并发症总发生率为7.50%,和对照组的35.00%比较明显更低,两组数据差异有统计学意义(χ^2=10.283,P<0.05)。结论快速康复护理应用于肝胆外科微创手术患者中,可促进术后康复,降低术后并发症发生率,值得推广使用。

Objective To explore the clinical effect of rapid rehabilitation nursing in patients with minimally invasive surgery in hepatobiliary surgery.Methods A total of 80 patients who underwent minimally invasive surgery in the liver and gallbladder surgery during the period from January to October 2019 were included in the study.They were divided into two groups according to the number of hospital stays,with 40 in each group and the control group with routine nursing,and the observation group was given rapid rehabilitation care.The nursing effects of the two groups were compared.Results 1.In the observation group,the first postoperative exhaust time was(30.12±5.43)h,the postoperative first time out of bed was(25.47±6.58)h,the defecation time was(58.60±10.52)h,and the hospitalization time was(7.51±2.19)d;both were significantly shorter than the control group.The first postoperative exhaust time was(45.03±4.98)h,the postoperative first time out of bed was(40.27±5.46)h,and the defecation time was(67.55±10.38)h.The length of hospital stay was(13.51±2.84)d.The first exhaust time,bedtime activity,defecation time,and length of hospital stay in the observation group were significantly shorter than those in the control group.The difference between the two groups was statistically significant(t=9.624,9.137,8.572,9.523,P<0.05).2.The total incidence of postoperative complications in the observation group was 7.50%,which was significantly lower than the 35.00%in the control group.There was a significant difference between the two groups of data,which was statistically significant(χ^2=10.283,P<0.05).Conclusion Rapid rehabilitation nursing can be used in patients with minimally invasive surgery in hepatobiliary surgery to promote postoperative rehabilitation and reduce the incidence of postoperative complications.