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目的评价快速康复外科护理在胆囊切除术患者围手术期的临床护理效果。方法 42例因胆囊结石需行手术切除患者,根据入院病历号奇偶数分为对照组(奇数组)和观察组(偶数组),各21例。对照组给予常规护理方案干预,观察组则在对照组护理方案基础上施加快速康复外科护理。观察分析两组患者术后下床时间、肛门排气时间及术后不良反应情况。结果对照组下床时间(14.2±4.2)h,肛门排气时间(38.1±6.6)h;观察组下床时间(5.7±4.2)h,肛门排气时间(22.4±5.7)h;两组下床时间、肛门排气时间比较,差异具有统计学意义(P<0.05)。两组均未见术后不良反应或并发症。结论快速康复外科护理能够提高胆囊切除术患者围手术期间的术后康复质量,缩短术后患者的下床时间和胃肠道功能恢复,值得临床护理推广及应用。
Objective To evaluate the clinical effect of rapid rehabilitation surgery on perioperative patients undergoing cholecystectomy. Methods Forty - two patients undergone surgical resection for gallstone were divided into control group (odd group) and observation group (even group), 21 cases in each group. The control group was given routine nursing intervention, and the observation group was given rapid rehabilitation surgical nursing on the basis of the control group nursing program. Observation and analysis of two groups of patients after bed time, anal exhaust time and postoperative adverse reactions. Results The time of going to bed in control group (14.2 ± 4.2) h and the time of anus exhausting (38.1 ± 6.6) h in control group were 5.7 ± 4.2 h and 22.4 ± 5.7 h Bed time, anal exhaust time, the difference was statistically significant (P <0.05). No adverse reactions or complications were found in both groups. Conclusion The rapid rehabilitation of surgical care can improve the quality of postoperative perioperative rehabilitation of patients undergoing cholecystectomy, shorten the time to bed and the recovery of gastrointestinal function in postoperative patients, worthy of promotion and application of clinical nursing.