加速康复外科新理念在肝癌围手术期护理中的应用效果分析

Analysis of the Application Effect of the New Concept of Accelerated Rehabilitation Surgery in the Perioperative Nursing of Liver Cancer

目的对在肝癌围手术期护理工作中加速康复外科新理念的应用效果进行分析和研究。方法随机选择该院在2017年1月—2018年6月期间收治的实施肝癌手术的患者共计70例作为该次研究的纳入对象,按照硬币法将其划分为两组,对照组35例,观察组35例。采用常规护理方式对对照组予以护理,在此基础上,采用加速康复外科新理念对观察组予以护理,对两组患者的护理效果进行分析和研究。结果对照组的首次排气时间为(36.8±5.7)h,住院时间为(13.2±2.8)d,住院费用为(3.5±0.8)万元,观察组的首次排气时间为(22.3±3.1)h,住院时间为(8.9±2.1)d,住院费用为(2.6±0.5)万元。观察组首次排气时间、住院时间、住院费用均明显少于对照组,两组患者相比,差异有统计学意义(t=13.548、3.726、3.055,P<0.05)。对照组并发症发生率为25.0%,观察组并发症发生率为5.0%。观察组并发症发生率明显少于对照组,两组患者相比,差异有统计学意义(χ^(2)=15.288,P<0.05)。结论针对肝癌患者围手术期护理应用加速康复外科新理念具有很好的护理效果,可以极大地促进患者术后康复,缩短患者的排气时间和住院时间,减少其并发症发生率。

Objective To analyze and research the application effect of accelerating the new concept of rehabilitation surgery in the perioperative nursing of liver cancer.Methods convenient to select 70 patients undergoing liver cancer surgery admitted to the hospital from January 2017 to June 2018 were selected as the subjects of this study.According to the coin method,they were divided into two groups,the control group 35 cases,and the observation group 35 cases.The control group was nursed by conventional nursing methods.On this basis,the observation group was nursed with the new concept of accelerated rehabilitation surgery,and the nursing effect of the two groups of patients was analyzed and researched.Results The first exhaust time of the control group was(36.8±5.7)h,the hospitalization time was(13.2±2.8)d,the hospitalization expenses were(3.5±0.8)ten thousand yuan,and the first exhaust time of the observation group was(22.3±3.1)h,the length of hospitalization was(8.9±2.1)d,and the hospitalization expenses were(2.6±0.5)ten thousand yuan.The first exhaust time,hospitalization time,and hospitalization expenses in the observation group were significantly less than those in the control group.Compared with the two groups,the difference was statistically significant(t=13.548,3.726,3.055,P<0.05).The complication rate in the control group was 25.0%,and the complication rate in the observation group was 5.0%.The incidence of complications in the observation group was significantly lower than that in the control group.Compared with the two groups,the difference was statistically significant(χ^(2)=15.288,P<0.05).Conclusion The application of the new concept of accelerated rehabilitation surgery for perioperative nursing of patients with liver cancer has a very good nursing effect,which can greatly promote the recovery of patients after surgery,shorten the patient's exhaust time and hospital stay,and reduce the incidence of complications.