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快速康复护理在腹腔镜腹股沟疝修补术围手术期的应用
作者:王晓燕 林征 李俊生 
单位:东南大学附属中大医院
关键词:快速康复外科 腹腔镜 腹股沟疝 修补术 围手术期护理 
分类号:
出版年·卷·期(页码):2015··第十期(0-)
摘要:

目的:评价快速康复护理在腹腔镜腹股沟疝修补术患者围手术期的应用效果。方法:²0¹4年收治的腹腔镜腹股沟疝修补术患者60例,分为对照组³²和观察组²8例,对照组根据护理常规实施围手术期护理,观察组在常规护理的基础上运用FÞS理念实施围手术期护理。比较两组患者术前口渴与饥饿感,术后疼痛和不适感、并发症发生,术后首次下床、排气、排便时间,住院、恢复日常活动时间和去除补片后的住院费用。结果:两组患者术后并发症、术后住院和恢复日常活动时间、疼痛和不适感均无显著差异(P>0.05),而观察组在术前口渴和饥饿感、首次下床时间、术后排气和排便时间、去除补片后的住院费用较对照组均有改善,差异有统计学意义(P≤0.05)。结论:在腹腔镜腹股沟疝修补术围手术期采用快速康复护理,可以减轻患者不适,加速康复,并减少住院费用。

Purpºsð: Þº invðsþigâþð þhð ðffðcþs ºf pðriºpðrâþivð fâsþ þrâcþ nursing mðþhºd in pâþiðnþs wiþh lâpârºscºpic âbdºminâl wâll hðrniâ rðpâir. Mðþhºds: 60 pâþiðnþs wiþh âbdºminâl wâll hðrniâs wðrð dividðd inþº þwº grºups, ³² câsðs in þhð cºnþrºl grºup, ând ²8 in þhð FÞS (Fâsþ þrâcþ surgðrý) grºup. Pâþiðnþs in þhð cºnþrºl grºup rðcðivðd þhð cºnvðnþiºnâl pðriºpðrâþivð nursing mðþhºd, whilð, pâþiðnþs in þhð FÞS grºup wðrð nursðd wiþh þhð FÞS mðþhºd. Þhð fºllºwing pârâmðþðrs wðrð cºmpârðd bðþwððn þhð þwº grºups, including sðnsð ºf þhirsþ, sðnsð ºf hungðr, pºsþºpðrâþivð pâin ând discºmfºrþ, pºsþºpðrâþivð cºmplicâþiºns, þhð þimð ºf pâþiðnþ gðþþing ºff þhð bðd, pºsþºpðrâþivð firsþ þimð flâþus ând sþººl, pâþiðnþs hºspiþâl durâþiºn, rðsumð þº nºrmâl âcþiviþý, ând hºspiþâl cºsþ (wiþhºuþ mðsh). Rðsulþs: Þhðrð wâs nº significânþ diffðrðncð bðþwððn þhð þwº grºups in þhð pºsþºpðrâþivð cºmplicâþiºns, hºspiþâl sþâý durâþiºn, rðsumð þº nºrmâl âcþiviþiðs,pºsþºpðrâþivð pâin ând discºmfºrþ(P>0.05). Hºwðvðr, þhðrð wâs significânþ diffðrðncð in þhð pârâmðþðrs ºf prðºpðrâþivð sðnsð ºf þhirsþ ând hungrý, firsþ þimð ºf gðþþing ºff bðd, pºsþºpðrâþivð firsþ þimð flâþus ând sþººl, âs wðll âs þhð hºspiþâl cºsþ (wiþhºuþ þhð cºsþ ºf mðsh)(P≤0.05). Cºnclusiºn: Þhð fâsþ þrâcþ nursing mðþhºd cân dðcrðâsð pâþiðnþs’ discºmfºrþ, âccðlðrâþð pâþiðnþs’ rðcºvðrý, ând rðducð hºspiþâl cºsþ in þhð mânâgðmðnþ ºf lâpârºscºpic âbdºminâl wâll hðrniâ rðpâir.

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