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目的该实验的课题主要探讨双镜联合治疗胆囊结石并胆总管结石患者对加速康复外科理念的临床应用。方法先根据随机数字法对该院2015年5月-2017年6月期间收治的60例胆囊结石并胆总管结石患者进行分组,实验组与对照组均为30例患者。30例对照组患者采用常规护理干预,30例实验组患者采用加速康复外科理念,对比两组患者护理的临床效果以及术后并发症的情况。结果实验组患者在术后住院时间、输液时间、体质量下降以及住院费用中均优于对照组,组间差异有统计学意义(P<0.05);且实验组患者术后并发症发生率为20.00%,远低于对照组的53.33%,组间差异有统计学意义(P<0.05)。结论加速康复外科理念在双镜联合治疗胆囊结石并胆总管结石患者中具有良好的临床效果,能够有效减少并发症的发生率,具有较高的值得推广。
Objective The purpose of this experiment is to explore the clinical application of double-mirror combined treatment of gallbladder stones and choledocholithiasis to accelerate the concept of surgical rehabilitation. Methods Sixty patients with gallstone and common bile duct stones admitted to our hospital from May 2015 to June 2017 were randomly divided into three groups according to a random number method. The experimental group and the control group were all 30 patients. Thirty patients in the control group received routine nursing intervention. 30 patients in the experimental group were treated with the concept of accelerated rehabilitation surgery. The clinical effects and postoperative complications of the two groups were compared. Results In the experimental group, the postoperative hospital stay, infusion time, weight loss and hospitalization costs were better than the control group, the difference was statistically significant (P <0.05); and the incidence of postoperative complications in the experimental group was 20.00%, much lower than that of the control group (53.33%). The difference between the two groups was statistically significant (P <0.05). Conclusion The concept of accelerated rehabilitation surgery has a good clinical effect in patients with gallstone and common bile duct stones treated with double mirror, which can effectively reduce the incidence of complications and is worthy of promotion.