快速康复外科护理在老年胃肠肿瘤患者围手术期中的应用

Observation on the Effect of Rapid Rehabilitation Nursing in Gastrointestinal Surgery

目的探究快速康复外科护理在胃肠肿瘤患者围手术期的应用效果;方法采用回顾性分析的方式,将2018年3—12月于本院实施常规胃肠外科护理的77例老年胃肠肿瘤患者设为对照组,将2019年1—10月实施快速康复外科护理后收治的77例老年胃肠肿瘤患者视为试验组,比较两组患者的一般指标和并发症发生率。结果(1)试验组患者的术后排气时间为(43.51±2.15)h,明显短于对照组的(50.03±2.66)h(P <0.05);试验组的术后排便时间为(85.35±3.22)h,明显短于对照组的(96.14±3.36)h(P<0.05);试验组的首次下床时间为(35.27±3.53)h,明显短于对照组的(51.45±2.84)h(P <0.05);试验组的术后住院时间为(9.03±0.11)d,明显短于对照组的(13.98±0.26)d(P <0.05)。(2)试验组患者术后各类并发症总发生率低于对照组,差异有统计学意义(2.60%vs. 10.39%,P <0.05)。结论 :对胃肠外科老年手术患者实施快速康复护理技术效果较好,不仅能够缩短患者术后康复时间,同时还能够降低各类并发症发生率。

Objective To explore the application effect of rapid rehabilitation nursing in gastrointestinal surgery.Methods By retrospective analysis,77 elderly patients with gastrointestinal tumors who underwent routine gastrointestinal surgery in our hospital from March to December 2018 were set as the control group,and 77 elderly patients with gastrointestinal tumor admitted after the implementation of fast track surgical care from January to October 2019were regarded as the experimental group,and the general index and the incidence of complications were compared between the two groups.Results(1)The postoperative defecation time of the experimental group was(43.51±2.15)h,which was significantly shorter than(50.03±2.66)h of the control group(P<0.05);the postoperative defecation time of the experimental group was(85.35±3.22)h,obviously shorter than(96.14±3.36)h of the control group(P<0.05);the first getting out of bed time in the experimental group was(35.27±3.53)h,which was significantly shorter than(51.45±2.84)h in the control group(P<0.05);the postoperative hospital stay of the experimental group was(9.03±0.11)d,which was significantly shorter than(13.98±0.26)d of the control group(P<0.05).(2)The result showed that the total incidence of postoperative complications in the study group was lower than that of the control group,and the difference was statistically significant(2.60%vs.10.39%,P<0.05).Conclusion The rapid rehabilitation treatment technology for patients with gastrointestinal surgery is effective,which can not only shorten the patients'postoperative recovery time,but also reduce the incidence of various types of complications.