集束化管理对盆腔脏器脱垂手术患者恢复的影响

目的探讨集束化管理对盆腔脏器脱垂手术患者胃肠功能恢复与下肢静脉血栓形成的影响。 方法收集2019年1月至2020年12月于首都医科大学附属北京妇产医院妇科微创中心盆腔脏器脱垂手术患者的临床资料。采用随机数法分为对照组和试验组，每组患者48例。对照组采用常规教育模式；试验组采用集束化管理，通过穴位按摩联合踝泵运动的方法促进患者术后康复。对比2组患者术后肛门排气时间、普通饮食恢复时间、自主排尿情况、住院时间及对腹腔引流液的影响；分析比较2组术后肠梗阻、尿潴留及下肢深静脉血栓的发生率。 结果试验组患者术后肛门排气时间、普通饮食恢复时间、住院时间均显著短于对照组（P<0.05），踝泵运动落实率明显高于对照组（P<0.05）。2组患者腹腔引流液、自主排尿情况均无明显差异（P>0.05）。2组均无下肢深静脉血栓、肺栓塞等严重并发症发生。试验组满意度（99.34%）高于对照组（91.50%），差异有统计学意义（P<0.05）。 结论集束化管理有助于盆腔脏器脱垂手术患者快速康复，高效且简单易行。

Influence of cluster management on recovery of patients with pelvic organ prolapse surgery

ObjectiveTo investigate the effect of cluster management on gastrointestinal function recovery and lower extremity venous thrombosis in patients with pelvic organ prolapse surgery. MethodsThe clinical data of patients undergoing pelvic organ prolapse surgery in the Gynecology Minimally Invasive Center of Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University from January 2019 to December 2020 were collected. The patients were divided into control group and experimental group by random number method, with 48 patients in each group. The control group adopted the conventional education mode; the experimental group adopted cluster management, and the postoperative rehabilitation of patients was promoted by acupoint massage combined with ankle pump exercise. The postoperative anal exhaust time, ordinary diet recovery time, spontaneous urination, hospital stay and the effect on abdominal drainage were compared between the two groups; the incidence of postoperative intestinal obstruction, urinary retention and lower extremity deep vein thrombosis were analyzed and compared between the two groups. ResultsThe postoperative anal exhaust time, ordinary diet recovery time, and hospitalization time of the experimental group were significantly shorter than those of the control group (P<0.05), and the implementation rate of ankle pump exercise was significantly higher than that of the control group (P<0.05). There was no significant difference in abdominal drainage and spontaneous urination between the two groups (P>0.05). There were no serious complications such as lower extremity deep vein thrombosis and pulmonary embolism in either group. The satisfaction of the experimental group (99.34%) was higher than that of the control group (91.50%), and the difference was statistically significant (P<0.05). ConclusionCluster management is helpful for the rapid recovery of patients with pelvic organ prolapse surgery, which is efficient and simple.