快速康复外科理念在腹腔镜下肝外胆管结石病人围术期护理中的应用

[目的]探讨快速康复外科理念在腹腔镜下肝外胆管结石围术期病人护理中的应用效果。[方法]将120例肝外胆管结石病人随机分为对照组和观察组,各60例。对照组采取传统的护理措施,观察组应用快速康复外科理念,充分做好术前宣教、腹腔镜术后护理、鼓励早期进食及活动、做好并发症的观察及护理等。比较两组病人康复时间、并发症发生率、舒适度及满意度,并评价其效果。[结果]观察组病人的康复时间、并发症发生率显著低于对照组(P<0.05或P<0.01),而舒适度、满意度则显著高于对照组(P<0.01)。[结论]应用快速康复外科理念对腹腔镜下肝外胆管结石围术期病人进行护理干预,可加速病人康复,减少术后并发症,增加病人的舒适度和满意度,提高病人的生活质量。

Nursing of fast track surgery for patients with extrahepatic bile duct stones in laparoscopic perioperative period

Objective：To probe into the applied effect of fast track surgery for nursign care of patients with extrahepatic bile duct stones in laparo- scopic perioperative period. Methods：A total of 120 patients with extrahe- patic bile duct stone were randomly divided into observation group and control group,60 patients in each. The control group patients received the traditional nursing methods, while the observation group patients received fast track surgery nursing including full well preoperative mission and laparoscopic postoperative nursing, encouraging early feeding and activities, well observation and nursing of complications and so on. The recovery time,incidence of complications, comfort and satisfaction were compared between both groups, and the effectiveness was evaluated. Results：The recovery time and incidence of complications of observation group patients were significantly lower than that of control group（P〈0.05 or P〈0.01）, and the satisfaction and comfort degree were significantly higher than that of control group（P〈0.01）. Conclusion： The fast track surgery nursing applied for laparoscopic perioperative patients with extrahepatic bile duct stones can accelerate patients recovery and reduce postoperative complications,increase patients＇ comfort and satisfaction, and improve quality of life of the patients.