[1]余 萍.围术期无缝隙护理对腹腔镜阑尾切除术患者胃肠功能及并发症的影响[J].医学信息,2022,35(08):190-192.[doi:10.3969/j.issn.1006-1959.2022.08.051]
　YU Ping.Effect of Perioperative Seamless Nursing on Gastrointestinal Function and Complications in Patients with Laparoscopic Appendectomy[J].Medical Information,2022,35(08):190-192.[doi:10.3969/j.issn.1006-1959.2022.08.051]
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围术期无缝隙护理对腹腔镜阑尾切除术患者胃肠功能及并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年08期
页码:
190-192
栏目:
护理研究
出版日期:
2022-04-15

文章信息/Info

Title:
Effect of Perioperative Seamless Nursing on Gastrointestinal Function and Complications in Patients with Laparoscopic Appendectomy
文章编号:
1006-1959（2022）08-0190-03
作者:
余 萍
（上栗县人民医院门诊，江西 上栗 337009）
Author(s):
YU Ping
(Department of Outpatient,Shangli County People’s Hospital,Shangli 337009,Jiangxi,China)
关键词:
腹腔镜阑尾切除术; 围术期; 无缝隙护理; 胃肠功能
Keywords:
Laparoscopic appendectomy; Perioperative period; Seamless nursing; Gastrointestinal function
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2022.08.051
文献标志码:
A
摘要:
目的 研究围术期无缝隙护理对腹腔镜阑尾切除术患者胃肠功能及并发症的影响。方法 选取2019年5月-2021年5月于上栗县人民医院行腹腔镜阑尾切除术治疗的48例阑尾炎患者，按照随机数字表法分为对照组与观察组，各24例。对照组采用常规围术期护理，观察组实施围术期无缝隙护理，比较两组应激情况（围术期的心率变化量、收缩压变化量及舒张压变化量）、肠道功能指标[D-乳酸、二胺氧化酶（DAO）]、术后恢复情况（术后下床活动时间、肠鸣音出现时间、肛门首次排气时间、首次排便时间、住院时间）、并发症情况。结果 观察组心率变化量、收缩压变化量、舒张压变化量均小于对照组，差异有统计学意义（P＜0.05）；两组DAO、D-乳酸水平均有上升，但观察组低于对照组，差异有统计学意义（P＜0.05）；观察组术后下床活动时间、肠鸣音出现时间、肛门首次排气时间、首次排便时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为8.33%，低于对照组的20.83%，差异有统计学意义（P＜0.05）。结论 围术期无缝隙护理可促进腹腔镜阑尾切除术后肠胃功能的恢复，缩短患者的术后康复时间，降低其并发症发生风险。
Abstract:
Objective To study the effect of perioperative seamless nursing on gastrointestinal function and complications in patients with laparoscopic appendectomy.Methods A total of 48 patients with appendicitis who underwent laparoscopic appendectomy in Shangli County People’s Hospital from May 2019 to May 2021 were randomly divided into control group and observation group, with 24 cases in each group. The control group was given routine perioperative nursing, while the observation group was given perioperative seamless nursing. The stress conditions (heart rate change, systolic blood pressure change and diastolic blood pressure change during perioperative period), intestinal function indexes [D-lactic acid and diamine oxidase (DAO)], postoperative recovery (postoperative ambulation time, bowel sounds appearance time, anus first exhaust time, first defecation time, hospitalization time) and complications of the two groups were compared.Results The changes of heart rate, systolic blood pressure and diastolic blood pressure in the observation group were less than those in the control group, and the difference was statistically significant (P<0.05). The levels of DAO and D-lactic acid in the two groups increased, but the observation group was lower than the control group, and the difference was statistically significant (P<0.05). The time of getting out of bed, the time of bowel sounds, the first anal exhaust time, the first defecation time and hospitalization time in the observation group were shorter than those in the control group, and the difference was statistically significant (P<0.05). The incidence of complications in the observation group was 8.33%, which was lower than 20.83% in the control group, and the difference was statistically significant (P<0.05).Conclusion Perioperative seamless nursing can promote the recovery of gastrointestinal function after laparoscopic appendectomy, shorten the postoperative recovery time and reduce the risk of complications.

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更新日期/Last Update: 1900-01-01