加速康复模式对胃癌术后患者疼痛的效果

发布时间：2018-03-30 04:21

  本文选题：加速康复护理　切入点：胃癌　出处：《广东医学》2017年16期

【摘要】：目的通过研究加速康复模式在胃癌患者术后的康复疗效,为患者术后快速康复提供依据。方法选取我科2015年7月到2016年1月期间57例住院患者,按照随机对照原则,分成干预组(21例)和对照组(36例)。其中,干预组采取加速康复模式,包括术前加速康复的宣教、术前肠道准备、术后疼痛管理、活动管理、留置管道管理及出院管理等措施。对照组采用传统的围手术期的护理,包括术前口服泻药行肠道准备,手术当天留置胃管,术后拔除胃管后视情况进食等。采用VAS法评估两组患者术后6、12、24、48 h疼痛得分情况,观察其术后首次肛门排气时间、住院时间、住院费用情况。结果干预组在术后6、12、24、48 h的疼痛得分均低于对照组(P0.05)。同时,干预组患者术后首次肛门排气时间(P0.05)和住院天数(P0.05)短于对照组,干预组患者住院费用少于对照组(P0.05)。结论加速康复模式可显著减轻胃癌术后患者的疼痛,缩短患者术后首次肛门排气时间和缩短住院天数,减少住院费用,加速患者的康复。
[Abstract]:Objective to study the effect of accelerated rehabilitation model in rehabilitation of postoperative patients with gastric cancer, and provide the basis for the rapid rehabilitation of patients after surgery. Methods in our hospital from July 2015 to January 2016 57 cases of hospitalized patients were randomly divided into intervention group (21 cases) and control group (36 cases). The intervention group adopted accelerated rehabilitation model, including preoperative accelerated rehabilitation education, preoperative bowel preparation, postoperative pain management, activity management, pipeline management and discharge indwelling management measures. The control group using conventional perioperative nursing, including preoperative oral purgative bowel preparation, postoperative indwelling gastric tube on the day of surgery, extubation after eating. Using the method of VAS assessment of 6,12,24,48 h pain scores of two groups of patients, observe the postoperative anal exhaust time, hospitalization time, hospitalization cost. The intervention group H in postoperative pain 6,12,24,48 鐥涘緱鍒嗗潎浣庝簬瀵圭収缁，

本文编号：1684344