快速康复外科理念在PPH术患者中应用价值分析.docVIP

快速康复外科理念在PPH术患者中应用价值分析 　　[摘要]目的 分析快速康复外科理念在PPH术患者中的应用价值。方法 随机抽取2014年7月～2016年6月本院收治的进行PPH手术治疗的患者150例，按照抽签的方式分为观察组（n=75）和对照组（n=75）。对照组进行常规护理，观察组在对照组的基础上进行快速康复外科理念。比较两组患者护理满意度、术后情况以及并发症发生率。结果 观察组的护理满意度（97.3%）高于对照组（85.3%），并发症发生率（21.3%）低于对照组的（50.7%），下床活动时间[（7.3±1.3）h]、住院时间[（3.5±0.6）d]、首次排便?r间[（18.3±2.1）h]均短于对照组[（15.4±1.9）h、（6.5±1.1）d、（27.6±2.9）h]，差异有统计学意义（P0.05）。结论 快速康复外科理念在PPH术中取得了显著的应用效果，护理满意度以及恢复速度明显提高，并发症发生率明显降低，值得借鉴和推广。 　　[关键词]快速康复外科理念；改良吻合器痔上黏膜环切术；应用价值 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0146-03 　　[Abstract]Objective To explore the application value of fast track surgery in patients undergone PPH.Methods A total of 150 patients undergone PPH from July 2014 to June 2016 in our hospital were selected in this study and evenly divided into the observation group （n=75） and the control group （n=75） by drawing lots.The control group was given routine nursing，while the observation group was given fast track surgery nursing on the basis of the control group.The nursing satisfaction，postoperative conditions and the incidence of complications were compared between two groups.Results The nursing satisfaction in the observation group （97.3%） was higher than that in the control group （85.3%），the incidence of complications （21.3%） was lower than that in the control group （50.7%），the time of being off bed，hospital stay，and the first defecation time [（7.3±1.3）h，（3.5±0.6）d，（18.3±2.1）h] were shorter than that in the control group [（15.4±1.9）h，（6.5±1.1）d，（27.6±2.9）h]，and the differences were statistically significant （P0.05）.Conclusion Fast track surgery obtains a remarkable application effect on PPH at advantages of improved nursing satisfaction and recovery，and has decreased incidence of complications，which is worthy of reference and promotion. 　　[Key words]Fast track surgery；Procedure for prolapse hemorrhoid；Application value 　　痔疮是临床上较为常见的一种疾病，治疗难度极高，术后容易复发，目前临床上采用的治疗方法主要是PPH术治疗，围手术期的护理措施对于患者病情的恢复具有极为重要的意义[1]。快速康复外科理念起源于欧美国家，可以显著缩短患者的住院时间，加快患者的康复速度。据调查显示，行