分析快速康复护理对腹腔镜下肝叶切除患者康复效果的影响
Analyzing the Impact of Rapid Rehabilitation Nursing on the Rehabilitation Outcomes of Patients Undergoing Laparoscopic Liver Lobectomy
李福萍1
作者信息
- 1. 354200 福建南平,南平市第二医院肝胆外科
- 折叠
摘要
目的 探讨快速康复护理在腹腔镜下肝叶切除患者中的实施效果.方法 选取2020年9月至2023年10月期间于南平市第二医院接受腹腔镜下肝叶切除术治疗的45例患者作为研究对象,分为观察组(快速康复护理)23例和对照组(常规护理)22例,比较两组的护理效果.结果 对比两组患者胃肠功能恢复情况,观察组患者的首次进食时间、首次排气时间、首次排便时间更短(P＜0.05).对比疼痛症状,观察组患者术后12h疼痛(Visual Analogue Scale,VAS)评分、术后24h疼痛VAS评分、术后48h疼痛VAS评分均低于对照组(P＜0.05).对比手术应激指标(术后),观察组患者的皮质醇(Cor)、C反应蛋白(CRP)、白细胞计数(WBC)均低于对照组(P＜0.05).结论 快速康复护理在腹腔镜下肝叶切除患者中的实施,对于促进病情康复有着积极的影响.
Abstract
Objective To explore the implementation effect of rapid rehabilitation nursing in patients under-going laparoscopic liver lobectomy.Methods 45 patients who underwent laparoscopic liver lobectomy in our hospital from September 2020 to October 2023 were selected as the study subjects.They were divided into the obser-vation group(rapid recovery nursing)of 23 cases and the control group(routine nursing)of 22 cases,and the nursing effects were compared.Results Comparing the recovery of gastrointestinal function,the observation group had shorter first eating time,first exhaust time,and first bowel movement time than those of the control group(P＜0.05).Compared with the control group,the observation group had lower pain VAS scores at 12 hours,24 hours,and 48 hours after surgery compared to the control group(P＜0.05).Comparing surgical stress indicators(postoperative),the cortisol(Cor)value,C-reactive protein(CRP)value,and white blood cell count(WBC)value of the observation group were lower than those of the control group(P＜0.05).Conclusion The implementation of rapid rehabilitation nursing in patients undergoing laparoscopic liver lobectomy has a positive impact on promoting disease recovery.
关键词
康复护理/腹腔镜/肝切除术/康复Key words
rehabilitation nursing/laparoscopes/hepatectomy/rehabilitation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据