早期活动干预对肝移植患者术后康复的影响

目的研究早期活动干预对肝移植患者术后康复的影响。方法按随机数字表法分组,实验组、对照组各40例。制定详细的“肝移植术后早期活动计划”对实验组进行干预,对照组接受常规护理。分别时两组下床活动时间,胃肠道功能恢复情况、膀胱功能恢复情况、睡眠状况、相关并发症等进行观察与比较。结果与对照组相比,实验组首次下床时间明显提前,住 ICU 监护、胃肠道功能恢复、留置胃管和导尿管时间明显缩短,每日进食量、自然睡眠时间明显增加,安眠药物使用率明显减少(P 均＜0.01)；在留置尿管一次拔管成功率以及切口裂开、胆漏、腹腔内出血等并发症方面,两组间差异没有统计学意义(P 均＞ 0.05)。结论早期活动干预可促进肝移植术后患者的康复进程。

Effect of early intervention to patients undergoing liver transplantation

Objective To assess the effect of early intervention to patients undergoing liver transplantation.Methods Eighty patients undergoing liver transplantation were randomly divided into two groups.Gave early intervention to experimental group (n=40),and the control group(n=40)received the routine care.The time of ambulation,recovery of gastrointestinal func- tion and bladder function,sleeping status and postoperative complications were compared.Results The patients in experimental group had earlier time of ambulation,their gastrointestinal functions,bladder functions and sleeping status are also better than control group.However,the related complications such as bile leakage and intraperitoneal hemorrhage had no differences between the two groups.Conclusions Early intervention can improve the rehabilitation of patients undergoing liver transplan- tation.