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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2022; 6: (2) ; 10.12208/j.ijcr.20220062 .

Observation on the application effect of fast recovery surgery concept in perioperative nursing of patients with laparoscopic cholecystolithiasis
快速康复外科理念在腹腔镜胆囊结石患者围术期护理中的应用效果观察

作者: 李萍 *

青海红十字医院 青海西宁

*通讯作者: 李萍,单位:青海红十字医院 青海西宁;

收录截图(CNKI-Scholar)

引用本文: 李萍 快速康复外科理念在腹腔镜胆囊结石患者围术期护理中的应用效果观察[J]. 国际临床研究杂志, 2022; 6: (2) : 82-85.
Published: 2022/4/25 18:11:34

摘要

目的 分析快速康复外科理念用于腹腔镜胆囊结石围术期护理的价值。方法 2021年3月-2022年2月本院接诊腹腔镜胆囊结石手术病人100名,随机均分2组。试验组采取快速康复外科护理,对照组行常规护理。对比肛门排气时间等指标。结果 从下床活动时间、肛门排气时间和住院时间上看,试验组分别是(17.02±3.26)h、(20.14±3.05)h、(4.06±0.49)d,和对照组(23.48±4.79)h、(26.92±4.18)h、(4.96±0.53)d相比更短(P<0.05)。从并发症上看,试验组发生率2.0%,和对照组14.0%相比更低(P<0.05)。从满意度上看,试验组98.0%,和对照组84.0%相比更高(P<0.05)。结论 腹腔镜胆囊结石围术期护理用快速康复外科理念,病情恢复更为迅速,并发症发生率更低,满意度更高。

关键词: 腹腔镜手术;快速康复外科理念;胆囊结石;并发症

Abstract

Objective: To analyze the value of fast recovery surgery concept in perioperative nursing of laparoscopic cholecystolithiasis.
Methods: From March 2021 to February 2022, 100 patients with laparoscopic cholecystolithiasis surgery were admitted to our hospital, and they were randomly divided into two groups. The experimental group received fast recovery surgical nursing, and the control group received routine nursing. Compare indicators such as anal exhaust time.
Results: From the time of getting out of bed, anal exhaust time and hospital stay, the experimental group was (17.02±3.26) h, (20.14±3.05) h, (4.06±0.49) d, and the control group (23.48±4.79) )h, (26.92±4.18)h, and (4.96±0.53)d were shorter (P<0.05). In terms of complications, the incidence rate of the experimental group was 2.0%, which was lower than that of the control group, which was 14.0% (P<0.05). In terms of satisfaction, the experimental group was 98.0% higher than the control group (84.0%) (P<0.05).
Conclusion  : The concept of fast recovery surgery is used in perioperative nursing of laparoscopic cholecystolithiasis, and the condition is recovered more quickly, the incidence of complications is lower, and the satisfaction rate is higher.

Key words: Laparoscopic Surgery; Fast Recovery Surgery Concept; Cholecystolithiasis; Complications

参考文献 References

[1] 胡文昱. 快速康复外科理念在腹腔镜胆囊结石患者围术期护理中的应用效果观察[J]. 中国保健营养,2021, 31(11):192.

[2] 王敏. 快速康复外科理念在腹腔镜胆囊结石患者围术期护理中的应用效果观察[J]. 饮食保健,2021(32): 200-201.

[3] 沈丽冬,金惠明,朱晓平,等. 基于中医特色快速康复外科理念探讨腹腔镜胆囊切除术围手术期护理干预效果[J]. 中国中西医结合外科杂志,2020,26(6):1092-1096. 

[4] 赵泽文,仲小舟,赵至成. 快速康复外科理念在腹腔镜胆囊切除术围手术期管理中的临床价值[J]. 中华消化外科杂志,2014,13(6):461-463. 

[5] NAUCK, MICHAEL A., GHORBANI, MARIE LOUISE MUUS, KREINER, ESKIL, et al. Effects of Liraglutide Compared With Placebo on Events of Acute Gallbladder or Biliary Disease in Patients With Type 2 Diabetes at High Risk for Cardiovascular Events in the LEADER Randomized Trial[J]. Diabetes care,2019, 42(10): 1912-1920. 

[6] 胡若男,胡超华. 快速康复理念下多模式镇痛在腹腔镜胆囊切除术中的应用研究[J]. 实用肝脏病杂志,2018,21(5):777-780. 

[7] 吕尚东,王铖,章文龙,等. 快速康复外科理念在腹腔镜保胆手术中的应用体会[J]. 肝胆胰外科杂志,2019, 31(11):663-666. 

[8] SHEN, YONG HUA, ZHENG, RU HUA, XIE, YING, et al. Endoscopic ultrasound-guided gallbladder fistulization for cholecystolithotomy after endoscopic transpapillary cannulation of the gallbladder in patients with gallstones and common bile duct stones[J]. Journal of digestive diseases,2020,21(7):422-425. 

[9] 张艳艳,马燕. 快速康复外科对腹腔镜胆囊切除术围术期康复效果及预后的影响[J]. 医学临床研究,2019, 36(12):2310-2312,2316.