呼吸功能训练在胃肠外科加速康复护理中的应用

Application of Respiratory Function Training in Accelerated Rehabilitation Nursing of Gastrointestinal Surgery

目的探究胃肠外科围手术期间实施加速康复护理及呼吸功能训练的临床效果。方法选取2019年1月—2020年12月收治的结直肠癌患者,选取80例患者进行分组研究,对照组40例实施常规护理,观察组40例实施加速康复护理,重点训练患者呼吸功能,比较两组围手术期间的护理情况。结果手术时间相比,观察组明显缩短,差异有统计学意义(P<0.05);失血量、输液量及尿量相比,观察组的量显著降低,差异有统计学意义(P<0.05)。首次排便、排气时间相比,较短的为观察组差异有统计学意义(P<0.05);首次经口饮水、下床时间相比,观察组时间明显缩短,差异有统计学意义(P<0.05)。观察组并发症总发生率为7.50%,对照组为32.50%,组间差异有统计学意义(P<0.05)。术后随时间推移,两组疼痛评分逐渐下降,各时间点评分相比,观察组分值更低,差异有统计学意义(P<0.05)。胃管、尿管留置时间相比,观察组明显缩短,差异有统计学意义(P<0.05);观察组进食早于对照组,住院天数少于对照组,总费用低于对照组,差异有统计学意义(P<0.05)。术后两组肺功能通气指标相比,观察组指标水平均高于对照组,组间差异有统计学意义(P<0.05)。结论在胃肠外科手术患者围术期运用加速康复护理,着重锻炼患者呼吸功能,可有效改善患者术中、术后相关指标,减少患者并发症的发生,缩短住院时间且节省医药费。

Objective To explore the clinical effects of accelerated rehabilitation nursing and respiratory function training during the perioperative period of gastrointestinal surgery.Methods Colorectal cancer patients were selected from January 2019 to December 2020,80patients were selected in group research,40 cases in the control group performed routine care,40 cases in the observation group performed accelerated rehabilitation care,focusing on their respiratory function,and comparing the care during the two groups.Results The operation time in the observation group was significantly shorter than that in the control group(P<0.05);the blood loss,infusion volume and urine volume in the observation group were significantly lower than those in the control group(P<0.05).Compared with the first defecation and exhaust time,the shorter time in the observation group was statistically significant(P<0.05);compared with the time of drinking water and getting out of bed for the first time,the time of the observation group was significantly shorter,and the difference was statistically significant(P<0.05).The total incidence of complications was 2.50%in the observation group and 20.00%in the control group.The difference between the groups was statistically significant(P<0.05).With the passage of time after operation,the pain score of the two groups gradually decreased,and the score of the observation group was lower than that of each time point,and the difference was statistically significant(P<0.05).The retention time of gastric tube and urinary tube in the observation group was significantly shorter than that in the control group(P<0.05);the observation group ate earlier than the control group,and the hospital stay was less than that of the control group,and the total cost was lower than the control group,the difference was statistically significant(P<0.05).Compared with the pulmonary function ventilation indexes of the two groups after operation,the index levels of the observation group were higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The use of accelerated rehabilitation nursing during the perioperative period of patients undergoing gastrointestinal surgery can focus on improving the patient’s respiratory function,which can effectively improve the relevant indicators during and after surgery,reduce the occurrence of complications,shorten the length of hospital stay and save medical expenses.