加速康复外科理念及电生理技术对妇科腹腔镜术后患者肠道功能恢复的研究

Research on the concept of accelerated rehabilitation surgery and electrophysiological techniques for the recovery of intestinal function in patients after gynecological laparoscopic surgery

目的观察妇科腹腔镜手术中应用加速康复外科理念及电生理技术对患者术后疼痛及肠道功能恢复的影响。方法选取120例在医院实施妇科腹腔镜手术患者,按照随机数字表法随机顺序分为研究组和对照组,各60例。研究组予以加速康复外科理念的护理干预及电生理技术(经皮电穴刺激治疗),对照组予以妇科常规护理及止痛药物,比较两组临床效果。结果研究组术后第1次肛门排气时间、首次离床活动时间、术后首次进食流食时间均短于对照组(P<0.05)。研究组术后1 h、12 h、24 h的视觉模拟评分法(VAS)评分均明显低于对照组(P<0.05)。研究组术后最常见的并发症发生率低于对照组(P<0.05)。研究组住院时间短于对照组(P<0.05)。结论在妇科腹腔镜手术患者中应用加速康复外科理念的护理干预及电生理技术(经皮电穴刺激)治疗,使患者术后早进食、尽快下床活动,减轻术后疼痛,积极促进患者恢复,降低并发症发生率,缩短住院时间,值得临床推广。

Objective To observation of the impact of accelerated rehabilitation surgical concepts and electrophysiological techniques on postoperative pain and intestinal function recovery in gynecological laparoscopic surgery.Methods 120 patients who underwent gynecological laparoscopic surgery in the hospital and randomly divide them into a study group and a control group according to the random number table method,with 60 patients in each group.The research group received nursing interventions based on the concept of accelerated rehabilitation surgery and electrophysiological techniques(percutaneous acupoint stimulation therapy),while the control group received routine gynecological care and painkillers.The clinical effects of the two groups were compared.Results The study group had shorter postoperative first anal exhaust time,first time getting out of bed,and first time eating liquid food compared to the control group(P<0.05).The visual analog scale(VAS)scores of the study group were significantly lower than those of the control group at 1,12,and 24 hours after surgery(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).The hospitalization time of the research group was shorter than that of the control group(P<0.05).Conclusion The application of accelerated rehabilitation surgery concept nursing intervention and electrophysiological technology(percutaneous acupoint stimulation)treatment in gynecological laparoscopic surgery patients can enable patients to eat early and get out of bed as soon as possible after surgery,reduce postoperative pain,actively promote patient recovery,reduce the incidence of complications,shorten hospital stay,and is worthy of clinical promotion.