快速康复训练对普外科手术患者康复效果的影响

Effect of rapid rehabilitation training on rehabilitation of patients with general surgery

目的 探究普外科手术患者采用快速康复训练对康复效果的影响。方法 80例普外科手术患者,以康复训练方案的不同分为对照组及观察组,各40例。对照组采用常规康复训练,观察组采用快速康复训练。对比两组患者术后康复时间、并发症发生情况、术后血清炎性因子水平、满意度。结果 观察组术后进食时间、排气时间、下床活动时间、排便时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率5.0%(2/40)低于对照组的37.5%(15/40),差异有统计学意义(P<0.05)。观察组术后C反应蛋白(12.41±2.33)mg/L、白细胞介素-6(IL-6)(10.24±2.08)pg/ml、肿瘤坏死因子-α(TNF-α)(36.22±5.33)pg/ml低于对照组的(18.64±3.31)mg/L、(15.14±2.33)pg/ml、(44.15±6.15)pg/ml,差异有统计学意义(P<0.05)。观察组满意度97.5%(39/40)高于对照组的80.0%(32/40),差异有统计学意义(P<0.05)。结论 普外科手术患者采用快速康复训练,既能缩短术后胃肠功能恢复时间、减少并发症,又能减轻机体应激反应、降低炎性因子水平,提升中患者满意度,值得推荐。

Objective To investigate the effect of rapid rehabilitation training on rehabilitation of patients with general surgery.Methods A total of 80 patients with general surgery were divided into control group and observation group according to different rehabilitation training regimens,with 40 cases in each group.The control group used conventional rehabilitation training,and the observation group used rapid rehabilitation training.Both groups were compared in terms of postoperative recovery time,complications,postoperative serum inflammatory factor levels and satisfaction rate.Results The postoperative eating time,exhaust time,off-bed activity time,and defecation time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The complication rate 5.0%(2/40)of the observation group was lower than 37.5%(15/40)of the control group,and the difference was statistically significant(P<0.05).The postoperative C-reactive protein(12.41±2.33)mg/L,interleukin-6(IL-6)(10.24±2.08)pg/ml and tumor necrosis factor-α(TNF-α)(36.22±5.33)pg/ml in the observation group were lower than(18.64±3.31)mg/L,(15.14±2.33)pg/ml and(44.15±6.15)pg/ml in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate 97.5%(39/40)of the observation group was higher than 80.0%(32/40)of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with general surgery,rapid rehabilitation training can not only shorten the recovery time of gastrointestinal function,reduce complications,but also reduce the stress response,lower the level of inflammatory factors and improve the satisfaction of patients.It is worthy of reference.