论文部分内容阅读
目的探讨加速康复外科理念在急诊胆囊切除术中的应用效果。方法选取淇县人民医院2012—2014年行急诊胆囊切除术的老年患者70例。根据护理模式不同分为试验组与对照组,各35例。试验组在加速康复外科护理理念指导下开展护理,对照组给予传统的常规护理模式。比较两组患者开始进食时间、开始下床活动时间、静脉滴注开始时间、心脑肺并发症发生率、住院时间及并发症发生率。结果试验组患者开始进食时间、开始下床活动时间、静脉滴注开始时间、住院时间短于对照组,差异有统计学意义(P<0.05);两组患者心脑肺并发症发生率比较,差异无统计学意义(P>0.05)。试验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论加速康复外科理念在急诊胆囊切除术中的应用效果确切,可有效缩短住院时间,减少患者在生理、心理上的创伤应激反应,且并发症少。
Objective To explore the application of the concept of accelerated rehabilitation surgery in emergency cholecystectomy. Methods 70 cases of elderly patients undergoing emergency cholecystectomy in Qixian People’s Hospital from 2012 to 2014 were selected. According to the different nursing model test group and control group, 35 cases each. The experimental group under the guidance of the concept of accelerated rehabilitation surgery nursing care, the control group to give the traditional mode of nursing. The time to start feeding, the time to get out of bed, the start time of intravenous drip, the incidence of cardiovascular and cerebrovascular complications, the length of hospital stay and the complication rate were compared between the two groups. Results Compared with the control group, the patients in trial group started to eat, the time to get out of bed, the start time of intravenous drip, and the length of hospital stay were shorter than those in control group (P <0.05) The difference was not statistically significant (P> 0.05). The incidence of complications in the experimental group was lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The concept of accelerated rehabilitation surgery in emergency cholecystectomy has the exact effect, which can effectively shorten the hospital stay and reduce the physical and psychological trauma stress response in patients with less complications.