妇科腹腔镜手术患者个性化护理干预后血液动力学改变的研究

Changes of Hemodynamics after Personalized Nursing Intervention in Gynecological Laparoscopic Surgery Patients

目的探讨妇科腹腔镜手术患者个性化护理干预后血液动力学的改变及其对术后恢复的影响。方法选取2022年1月—2023年1月接受妇科腹腔镜手术的86例患者,按照随机数字表法分为观察组和对照组,各43例。对照组给予常规护理,观察组在此基础上实施个性化护理干预。比较两组患者术前、术中及术后24 h、48 h的血液动力学指标(心率、收缩压、舒张压、平均动脉压、中心静脉压)及术后恢复情况(排气时间、排尿时间、住院时间、并发症发生率)。结果观察组患者术中及术后24 h、48 h的心率、收缩压、舒张压、平均动脉压均低于对照组,差异有统计学意义(P<0.05);观察组患者术中及术后24 h、48 h的中心静脉压均高于对照组,差异有统计学意义(P<0.05)。观察组患者的排气时间、排尿时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论妇科腹腔镜手术患者实施个性化护理干预后,可有效改善血液动力学状态,促进术后恢复,减少并发症发生,值得临床推广应用。

Objective To explore the changes of hemodynamics after personalized nursing intervention in gynecological laparoscopic surgery patients and their effects on postoperative recovery.Methods 86 patients who underwent gynecological laparoscopic surgery from January 2022 to January 2023 were randomly divided into observation group and control group,with 43 cases in each group.The control group received routine nursing care,while the observation group received personalized nursing intervention based on routine nursing care.The hemodynamic indicators(heart rate,blood pressure,mean arterial pressure,central venous pressure)before,during and 24 h and 48 h after surgery,and the postoperative recovery(time of exhaust,time of urination,length of hospital stay,incidence of complications)of the two groups were compared.Results The heart rate,systolic blood pressure,diastolic blood pressure and mean arterial pressure of the observation group were lower than those of the control group during and 24 h and 48 h after surgery,and the difference was statistically significant(P<0.05).The central venous pressure of the observation group was higher than that of the control group during and 24 h and 48 h after surgery,and the difference was statistically significant(P<0.05).The time of exhaust,time of urination and length of hospital stay of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Personalized nursing intervention can effectively improve the hemodynamic status,promote postoperative recovery,reduce the incidence of complications in gynecological laparoscopic surgery patients,and is worthy of clinical promotion and application.