中西医结合护理对腹腔镜胆囊切除术后患者的影响

Effect of Integrated Chinese and Western Medicine Nursing on Patients Undergoing Laparoscopic Cholecystectomy

目的:探讨中西医结合护理对腹腔镜胆囊切除手术后患者胃肠功能恢复、生活质量及炎症因子的影响。方法:选取行腹腔镜胆囊切除术患者100例,按随机数字表法分为对照组和观察组各50例。对照组给予常规优质护理,观察组在对照组基础上给予中医特色护理。比较2组术后胃肠功能恢复情况、生活质量评分、炎症因子水平、不良心理及并发症发生情况。结果:观察组肠鸣音恢复时间、开始排气时间、首次排便时间均低于对照组(P<0.05)。护理前,2组生活质量评价量表(SF-36)各维度评分比较,差异无统计学意义(P>0.05)。护理后,2组SF-36各维度评分较治疗前升高(P<0.05),且观察组SF-36各维度评分均高于对照组(P<0.05)。护理前,2组焦虑自评量表(SAS)及汉密尔顿抑郁量表(HAMD)评分比较,差异均无统计学意义(P>0.05)。护理后,2组SAS评分及HAMD评分均低于护理前(P<0.05),且观察组SAS评分及HAMD评分低于对照组(P<0.05)。护理前,2组C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平比较,差异无统计学意义(P>0.05)。护理后,2组CRP、TNF-α水平均低于护理前,且观察组CRP、TNF-α水平低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为6.0%,低于对照组28.0%,差异有统计学意义(P<0.05)。结论:中西医结合护理可改善腹腔镜胆囊切除术患者术后胃肠功能,提高术后生活质量,降低术后炎症因子水平,控制术后各种并发症发生率,减少术后不良心理状态的发生。

Objective:To discuss the effect of integrated Chinese and western medicine nursing on recovery of gastrointestinal function,quality of life and inflammatory factors on patients undergoing laparoscopic cholecystectomy.Methods:A total of 100 cases of patients undergoing laparoscopic cholecystectomy were divided into the control group and the observation group according to the random number table method,50 cases in each group.The control group was given routine high-quality nursing,and the observation group was additionally given Chinese medicine nursing based on the nursing of the control group.After operation,the recovery of gastrointestinal function,the scores of quality of life,the levels of inflammatory factors,unhealthy psychology and the incidence of complications in the two groups were compared.Results:The recovery time of bowel sound and the time of the first anal exhaust and defecation in the observation group were shorter than those in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparison of the scores of all dimensions in 36-Item Short Form Survey(SF-36)between the two groups(P>0.05).After nursing,the scores of all dimensions in SF-36 in the two groups were increased when compared with those before nursing(P<0.05),and the scores in the observation group were all higher than those in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparison of the scores of Self-rating Anxiety Scale(SAS)and Hamilton Depression Scale(HAMD)between the two groups(P>0.05).After nursing,the scores of SAS and HAMD in the two groups were decreased when compared with those before nursing(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparison of the levels of C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)between the two groups(P>0.05).After nursing,the levels of CRP and TNF-αin the two groups were lower than those before nursing,and the levels in the observation group were lower than those in the control group,differences being significant(P<0.05).The incidence of complications was 6.0%in the observation group,lower than that of 28.0%in the control group,the difference being significant(P<0.05).Conclusion:Integrated Chinese and western medicine nursing can improve the recovery of gastrointestinal function on patients undergoing laparoscopic cholecystectomy,improve the quality of life after operation,reduce the levels of inflammatory factors and the incidence of unhealthy psychology,and control the incidence of complications.