量化评估策略在急性结石性胆囊炎患者手术室护理中的应用

Application of Quantitative Evaluation Strategy in Operating Room Nursing of Patients with Acute Calculous Cholecystitis

目的探讨量化评估策略(MBC)在急性结石性胆囊炎(ACC)患者手术室护理中的应用效果。方法选取2021年7月至2022年7月郑州大学第一附属医院收治的120例ACC患者,根据建档顺序分组。所有患者均行腹腔镜胆囊切除术治疗,对照组60例接受常规手术室护理,在对照组基础上观察组60例接受基于MBC的手术室护理。观察两组术后康复进程,术前10 min、术中麻醉后5 min、术后10 min躯体应激[心率(HR)、收缩压(SBP)、舒张压(DBP)],术前10 min、术后10 min症状自评量表(SCL-90)评分及并发症情况。结果观察组首次排气时间、首次下床时间、进食时间、住院时间短于对照组(P<0.05);术前10 min、术中麻醉后5 min、术后10 min观察组DBP、SBP、HR指标低于对照组(P<0.05);术前10 min、术后10 min观察组SCL-90评分低于对照组(P<0.05);观察组并发症总发生率(5.00%)低于对照组(18.33%)(P<0.05)。结论MBC在ACC患者手术室护理中,能降低术后并发症发生率,减轻患者身心应激反应,有利于加速患者康复进程。

Objective To investigate the effect of quantitative evaluation strategy in the operating room nursing of patients with acute calculous cholecystitis(ACC).Methods A total of 120 patients with ACC in the First Affiliated Hospital of Zhengzhou University from July 2021 to July 2022 were selected and divided into 60 patients in each case according to the order of documentation.All patients underwent laparoscopic cholecystectomy,the control group received routine operating room nursing,and the observation group received operating room nursing based on quantitative evaluation strategy on the basis of the control group.Postoperative rehabilitation process,physical stress[heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)],symptom checklist 90(SCL-90)scores 10 minutes before surgery and 10 minutes after surgery and complications of the two groups were observed.Results The time to first exhaustion,time to first disembarkation,time to feeding,and hospitalization time of the observation group were shorter than those of the control group(P<0.05).DBP,SBP and HR indexes of the observation group were lower than those of the control group in the preoperative 10 minutes,intraoperative 5 minutes after anesthesia,and postoperative 10 minutes(P<0.05).The SCL-90 scores of the observation group were lower than those of the control group in the preoperative 10 minutes and postoperative 10 minutes(P<0.05).The total complication rate of 5.00%in the observation group was lower than that of 18.33%in the control group(P<0.05).Conclusion The quantitative evaluation strategy in the operation room nursing of ACC patients can reduce the physical and mental stress response of patients,reduce the incidence of postoperative complications,and accelerate the rehabilitation process of patients.