快速康复护理对腹腔镜子宫肌瘤剔除术患者的效果观察

Efficacy of fast-track rehabilitation nursing in patients undergoing laparoscopic myomectomy

目的探讨腹腔镜子宫肌瘤剔除术患者采用快速康复护理理念的临床效果。方法选取2019年1月至2020年7月间湖南省妇幼保健院收治的行腹腔镜子宫肌瘤剔除术治疗的300例患者,采用随机抽签法分为观察组和对照组,每组150例。观察组患者采用快速康复护理理念,对照组患者采用常规护理,比较两组患者各项指标恢复进度及并发症发生率。结果观察组患者手术时间和住院时间较对照组更短,术中出血量更少,术后肛门排气时间更快,差异均有统计学意义(均P<0.05)。观察组患者术后并发症发生率为1.3%,低于对照组的6.7%,差异有统计学意义(P<0.05)。结论行腹腔镜子宫肌瘤剔除术患者采用快速康复护理理念护理,可缩短手术时间,减少术中出血量及并发症,患者恢复快。

Objective To explore the effect of fast-track rehabilitation nursing in patients undergoing laparoscopic myomectomy.Methods Three hundred patients undergoing laparoscopic myomectomy at Hunan Maternal and Child Health Hospital from January 2019 to July 2020 were selected as the research subjects.They were randomly divided into two groups,namely a control group and an observation group,with 150 patients in each group.The observation group was given fast-track rehabilitation nursing and the control group was given conventional nursing.The recovery progression indices and incidence of complications were compared between the two groups.Results The duration of operation,length of hospital stay,intraoperative blood loss and time to anal exhaust was lower in the observation group than in the control group(P<0.05).The incidence of complications was 1.3%in the observation group which was lower than 6.7%of the control group(P<0.05).Conclusion Fast-track rehabilitation nursing can shorten the duration of operation,reduce intraoperative blood loss and complications,promote recovery in patients undergoing laparoscopic myomectomy.