加速康复护理在胆囊切除患者围手术期护理中的应用分析.docVIP

加速康复护理在胆囊切除患者围手术期护理中的应用分析 　　[摘要] 目的 研究观察加速康复护理在胆囊切除患者围手术期护理中的应用及临床疗效。方法 选取2012年9月―2013年8月在该院收治并实施胆囊切除手术的患者70例，并随机分为对照组和观察组各35例；对照组给予传统康复护理，观察组实施加速康复护理，观察分析两组患者术后首次下床活动时间，首次进食时间，住院时间及并发症发生率。 结果 与对照组相比，观察组患者下床活动时间，进食时间以及术后住院时间明显缩短，差异有统计学意义（P0.05）；两组患者均未出现严重并发症。结论 加速康复护理具有提前首次下床活动时间、首次进食时间和缩短住院时间的优点，并且不增加并发症发生率，值得临床大力推广。 　　[关键词] 加速康复；胆囊切除手术；围手术期；护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）02（c）-0139-02 　　[Abstract] Objective To study and analyze the application of accelerated rehabilitation care to cholecystectomy during the perioperative period and its clinical efficacy. Methods Seventy cases underwent cholecystectomy in our hospital from September 2012 to August 2013 were selected and randomly divided into the control group and the observation group with 35 cases in each. The control group received traditional rehabilitation care， and the observation group received the accelerated rehabilitation care. And the first ambulation time， the first eating time， length of stay and the complication rate were compared and analyzed between the two groups. Results Compared with the control group， the first ambulation time and first eating time of the observation group were much earlier， length of stay was obviously less， the differences between the groups were statistically significant（P0.05）； and no severe complications occurred in both groups. Conclusion For the care of perioperative patients underwent cholecystectomy， accelerated rehabilitation care has obvious application value such as shortening the first ambulation time and first eating time and length of stay without increasing the incidence of complications， therefore it is worthy of clinical promotion vigorously. 　　[Key words] Accelerated rehabilitation； Cholecystectomy； Perioperative period； Nursin 　　胆囊切除手术是临床上常用的胆道外科手术，主要用于治疗胆囊疾病如胆结石，胆囊息肉等。如今临床多采用腹腔镜外科技术，使用精巧的器械，通过腹部细小的穿刺口进入并进行手术。与传统开腹手术相比，腹腔镜切除胆囊手术很好的弥补了传统胆囊切除手术创口大、伤口难愈合，术后恢复慢等缺点，因此，此方法已成为治疗大多数胆囊良性疾病的首要选择，并迅速被外科医师及患者所接受[1]。随着医学技术的不断发展及腹腔镜胆囊切除手术得到越来越广泛的