快速康复外科在胆总管结石经内镜逆行胰胆管造影患者中的应用价值

Application value of fast track surgery in the ERCP surgery of choledocholithiasis patients

目的:探讨快速康复外科在胆总管结石经内镜逆行胰胆管造影(ERCP)术患者中的应用价值。方法:2017年8月-2019年2月收治胆总管结石患者130例,均实行ERCP术;随机分为两组,各65例。对照组围术期采取常规护理干预;研究组则采取快速康复外科理念指导下的护理干预。比较两组干预效果。结果:研究组患者平均下床活动时间、术后胃肠功能恢复时间、住院时间、住院费用及术后并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:快速康复外科理念指导下的护理干预方法用于行ERCP的胆总管结石患者,临床护理效果突出,可有效预防并发症,帮助患者早日恢复正常饮食,尽早下床活动,缩短住院周期。

Objective:To explore the value of fast track surgery in patients with choledocholithiasis who undergoing endoscopic retrograde cholangiopancreatography(ERCP)surgery.Methods:From August 2017 to February 2019,130 cases of patients with choledocholithiasis were enrolled,all of them underwent endoscopic retrograde cholangiopancreatography(ERCP)surgery,they were randomly divided into two groups with 65 cases in each group.The control group took conventional nursing intervention during perioperative period,while the study group took nursing intervention under the guidance of the concept of fast track surgery.The intervention effect between the two groups was compared.Results:The average time of getting out of bed,the postoperative gastrointestinal function recovery time,the length of hospital stays,the hospitalization expenses and postoperative incidence rate of complications of patients in the study group were all lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The nursing intervention method under the guidance of the concept of fast track surgery is used in choledocholithiasis patients with ERCP,the clinical nursing effect is outstanding and it can effectively prevent complications,it helps patients to return to normal diet as soon as possible and get out of bed as soon as possible and shortens the length of hospital stays.