快速康复护理在全子宫切除术合并高血压围手术期中的应用

Application of Rapid Rehabilitation Nursing in Perioperative Period of Total Hysterectomy Combined With Hypertension

目的探讨快速康复护理在妇科腹腔镜全子宫切除术合并高血压患者围手术期中的应用效果。方法选择2018年6月—2021年1月符合纳入标准的全子宫切除合并高血压患者120例随机分为对照组60例与试验组60例。对照组采用全子宫切除常规护理,试验组在常规护理的基础上实施快速康复外科理念进行围手术期护理,比较两组患者术后7个观察指标即进食时间、卧床时间、肛门排气时间、住院时间、患者满意度、并发症发生率、术后血压等。结果试验组的术后进食时间(2.52±0.45)h、卧床时间(5.44±0.69)h、肛门排气时间(6.28±2.10)h、住院时间(7.44±0.58)d、患者满意度均优于对照组的进食时间(6.43±0.69)h、卧床时间(11.11±1.17)h、肛门排气时间(16.70±3.56)h、住院时间(10.69±0.99)d及患者满意度,差异有统计学意义(P<0.05);术后相关并发症试验组4例,发生率6.67%,对照组12例,发生率20.00%,两组比较差异有统计学意义(P<0.05);试验组患者血压术后6 h[(127.03±3.35)mmHg vs.(83.62±3.03)mmHg]、12 h[(126.18±3.96)mmHg vs.(81.07±2.94)mmHg]值明显低于对照组6 h[(145.23±3.96)mmHg vs.(89.55±1.31)mmHg]、12 h[(142.57±4.35)mmHg vs.(89.43±1.28)mmHg],两组比较差异有统计学意义(P<0.05)。结论快速康复护理在妇科腹腔镜全子宫切除术合并高血压患者围手术期的护理措施,能够有效缩短患者术后进食时间、卧床时间、肛门排气时间、住院时间,降低患者术后并发症的发生率,调节术后血压,提高患者满意度。

Objective To explore the effect of rapid rehabilitation nursing in the perioperative period of gynecological laparoscopic total hysterectomy combined with hypertension.Methods A total of 120 patients with total hysterectomy and hypertension who met the inclusion criteria from June 2018 to January 2021 were randomly divided into 60 cases in the control group and 60 cases in the experimental group.The control group was treated with routine nursing of total hysterectomy,and the experimental group was treated with perioperative nursing based on the concept of rapid rehabilitation surgery.Seven postoperative observation indexes of the two groups were compared,namely,eating time,bed time,anal exhaust time,hospital stay,patient satisfaction,incidence of complications,postoperative blood pressure,etc.Results The postoperative eating time(2.52±0.45)h,bed rest time(5.44±0.69)h,anal exhaust time(6.28±2.10)h,hospitalization time(7.44±0.58)d,and patient satisfaction in the experimental group were better than feeding time(6.43±0.69)h,bed rest time(11.11±1.17)h,anal exhaust time(16.70±3.56)h,hospital stay(10.69±0.99)d and patient satisfaction in the control group,the differences were statistically significant(P<0.05);postoperative related complications were 4 cases in the experimental group,the incidence rate was 6.67%,and 12 cases in the control group,the incidence rate was 20.00%,and the difference between the two groups was statistically significant(P<0.05).The values of 6 h[(127.03±3.35)mmHg vs.(83.62±3.03)mmHg]and 12 h[(126.18±3.96)mmHg vs.(81.07±2.94)mmHg]were significantly lower than those of the control group at 6 h[(145.23±3.96))mmHg vs.(89.55±1.31)mmHg],12 h[(142.57±4.35)mmHg vs.(89.43±1.28)mmHg],there were significant differences between the two groups(P<0.05).Conclusion The perioperative nursing measures of rapid rehabilitation nursing in patients with gynecological laparoscopic total hysterectomy combined with hypertension can effectively shorten the postoperative eating time,bed time,anal exhaust time and hospital stay,reduce the incidence of postoperative complications,reduce postoperative blood pressure and improve patient satisfaction.