腹腔镜肝切除围手术期的快速康复模式分析

发布时间：2018-04-29 23:10

本文选题：腹腔镜 + 肝切除　；参考：《中国实用医药》2016年31期

【摘要】：目的研究腹腔镜肝切除围手术期的快速康复模式(FTS)在实践中的效果。方法 80例腹腔镜肝切除围手术期患者,随机分为实验组和对照组,各40例。对照组采取常规护理措施进行干预,实验组在对照组的基础上给予恢复期快速康复护理干预。比较两组患者的护理干预效果。结果实验组患者下床活动时间、肛门排气时间、进食时间以及住院时间均短于对照组,术后3 h疼痛评分、术后24 h疼痛评分均低于对照组(P0.05);实验组患者腹胀、呕吐、胸闷、术后并发症发生例数少于对照组,患者满意例数多于对照组(P0.05);实验组患者术后体重下降(4.75±3.22)kg,高于对照组的(4.21±2.57)kg(P0.05)。两组患者所需费用比较差异无统计学意义(P0.05)。结论在临床中,腹腔镜肝切除患者围术期应用快速康复模式进行护理干预,能够有效的促进患者达到快速康复的效果,值得在临床普及应用。
[Abstract]:Objective to study the effect of fast rehabilitation model (FTS) in perioperative period of laparoscopic hepatectomy. Methods 80 patients undergoing laparoscopic hepatectomy were randomly divided into experimental group and control group. The control group was treated with routine nursing measures, and the experimental group was given rapid recovery nursing intervention on the basis of the control group. To compare the effect of nursing intervention between the two groups. Results the time of getting out of bed, the time of anal exhaust, the time of feeding and the time of hospitalization in the experimental group were shorter than those in the control group, and the pain score at 3 h after operation was lower than that in the control group 24 h after operation (P 0.05), the abdominal distension, vomiting, chest tightness in the experimental group were lower than those in the control group. The incidence of postoperative complications was less than that of the control group, and the number of satisfactory cases was more than that of the control group (P0.05A), and the postoperative weight loss of the patients in the experimental group was 4.75 卤3.22kg / kg, which was higher than that in the control group (4.21 卤2.57kg / kg). There was no significant difference in cost between the two groups (P 0.05). Conclusion in clinical practice, nursing intervention with rapid rehabilitation mode in patients with laparoscopic hepatectomy during perioperative period can effectively promote the effect of rapid rehabilitation, which is worth popularizing in clinical practice.
【作者单位】：吉林大学第一医院;

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