Analysis of the application effect of quality control circle activities in improving the qualified rate of prescriptions in outpatient Chinese pharmacies
运动处方对腹腔镜下胆囊切除术患者气腹并发症的影响

摘要

目的 在腹腔镜胆囊切除术患者围手术期通过一系基于运动处方的护理管理，减轻由于腹腔镜手术气腹造成的并发症、促进围手术期快速康复。方法 将符合纳入条件的拟行择期腹腔镜下胆囊切除术患者随机分为实验组和对照组各30例，实验组在接受常规治疗和护理的同时，运用运动处方指导进行的围手术期护理管理。对照组患者仅进行常规治疗与护理。分别比较两组患者气腹并发症包括腹胀、非切口性腹痛、肩痛的发生情况及胃肠道功能恢复肛门排气时间。结果 与对照组相比，运用运动指导进行的围手术期护理管理，实验组患者的术后腹胀程度、术后24h肩痛及腹痛程度、胃肠道功能恢复时间与对照组比较，差异有统计学意义（P＜0.05）。结论 运用运动指导进行的围手术期护理管理能明显减轻腹腔镜胆囊切除术患者术后气腹相关并发症，有利于患者恢复。

Abstract

Objective In the perioperative period of laparoscopic cholecystectomy patients, a series of nursing management based on exercise prescription can be used to reduce the complications caused by laparoscopic pneumoperitoneum and promote the rapid recovery in the perioperative period.
Methods Eligible patients who were eligible for elective laparoscopic cholecystectomy were randomly divided into experimental group and control group, 30 cases in each group. The experimental group received routine treatment and nursing, and perioperative nursing management guided by exercise prescription. The patients in the control group only received routine treatment and nursing. The complications of pneumoperitoneum, including abdominal distension, non-incisional abdominal pain, shoulder pain, and anal exhausting time for gastrointestinal function recovery, were compared between the two groups.
Results Compared with the control group, the use of exercise guidance for perioperative nursing management, the degree of postoperative abdominal distension, the degree of shoulder pain and abdominal pain at 24 hours after the operation, and the recovery time of gastrointestinal function of the patients in the experimental group were compared with those in the control group, and there were statistical differences. Academic significance (P<0.05).
Conclusion   The perioperative nursing management using exercise guidance can significantly reduce postoperative pneumoperitoneum-related complications in patients with laparoscopic cholecystectomy, which is beneficial to the recovery of patients.