快速康复护理在肝胆管结石合并门脉高压患者手术中临床应用.docVIP

快速康复护理在肝胆管结石合并门脉高压患者手术中临床应用 　　[摘要] 目的 探究快速康复护理在肝胆管结石合并门脉高压患者手术中的临床应用。 方法 选取哈尔滨医科大学附属第一医院2014年6月～2016年6月收治的90例接受手术治疗的肝胆管结石合并门脉高压患者，采取随机数字表法分为常规护理组与快速康复护理组，每组各45例，对比两组围术期指标、术后生活质量及并发症发生率。 结果 与常规护理组相比，快速康复护理组下床活动时间较短，进食时间较短，首次排便时间较短，住院时间较短，住院费用较少，差异有统计学意义（P 0.05）。与常规护理组相比，快速康复护理组躯体功能、角色功能、情感功能、认知功能及社会功能评分均较高，差异有统计学意义（P 0.05）。与常规护理组相比，快速康?突だ碜椴⒎⒅⒆芊⑸?率较低，差异有统计学意义（P 0.05）。 结论 快速康复护理应用于肝胆管结石合并门脉高压手术患者中可改善围术期指标，加快康复速度，提高术后生活质量，降低并发症发生率。 　　[关键词] 快速康复护理；肝胆管结石；门脉高压；手术 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）05（b）-0147-04 　　[Abstract] Objective To explore the clinical application of the rapid rehabilitation nursing in patients with hepatolith and portal hypertension underwent surgery. Methods From June 2014 to June 2016， 90 patients with hepatolith and portal hypertension who received surgery in the First Affiliated Hospital of Harbin Medical University were selected. All the patients were divided into routine nursing group and rapid rehabilitation nursing group according to random number table， with 45 cases in each group. The perioperative indicators， quality of life and the incidence of complications of the two groups patients after surgery were compared. Results The bed activity time， eating time， the first defecation time and the length of hospital stay in the rapid rehabilitation nursing group were shorter than those in the routine nursing group， and the hospital costs in the rapid rehabilitation nursing group was less than that in the routine nursing group， with statistically significant difference （P 0.05）. The physical function， role function， emotional function， cognitive function and social function scores of the rapid rehabilitation nursing group were higher than those of the routine nursing group， with the statistically significant difference （P 0.05）. The total incidence of complications in the rapid rehabilitation nursing group was lower than that in the routine nursing group， with statistically significant difference （P 0.05）. Conclusion The appl