摘要
目的分析在妇科腹腔镜手术患者的术后腹胀预防工作中应用快速康复理念模式干预的价值。方法回顾性分析行妇科腹腔镜手术的50例患者临床资料,遵从“计算机随机分组法”将其分为对照组(24例)和观察组(26例)。对照组患者采取常规干预,观察组患者采取快速康复理念模式干预。比较两组患者术后胃肠功能恢复情况、并发症发生情况、生命质量。结果观察组患者肛门首次排气时间(66.56±6.52)h、进食时间(48.52±5.23)h、下床活动时间(1.23±0.23)h、胃管留置时间(10.23±1.23)h、术后首次排便时间(45.26±2.23)h、住院时间(5.26±1.23)d均短于对照组的(78.52±6.58)h、(56.56±6.52)h、(2.31±0.58)h、(22.23±2.15)h、(56.23±1.23)h、(7.15±1.33)d,差异均具有统计学意义(t=6.452、4.828、8.782、24.463、21.285、5.221,P<0.05)。观察组术后并发症发生率3.8%低于对照组的25.0%,差异具有统计学意义(χ^(2)=4.638,P<0.05)。干预后,观察组患者生理机能、情感职能、社会功能、躯体疼痛、精神健康、精力、生理职能、总体健康评分均高于对照组,差异均具有统计学意义(P<0.05)。结论在妇科腹腔镜手术患者的术后腹胀预防工作中应用快速康复理念模式具有显著效果,可降低患者术后腹胀的发生率并提高生命质量。
Objective To analyze the value of fast-track surgery concept on prevention of abdominal distension after gynecological laparoscopic surgery.Methods A total of 50 patients undergoing gynecological laparoscopic surgery were divided into control group(24 cases)and observation group(26 cases)according to the"computer randomization method".Patients in the control group received conventional intervention,while patients in the observation group received intervention with the concept of fast-track surgery.The postoperative gastrointestinal function recovery,complications and quality of life were compared between the two groups.Results The time to first anal exhaust(66.56±6.52)h,eating time(48.52±5.23)h,off-bed activity time(1.23±0.23)h,gastric tube indwelling time(10.23±1.23)h,time to postoperative first defecation time(45.26±2.23)h,and hospital stay(5.26±1.23)d in the observation group were shorter than(78.52±6.58)h,(56.56±6.52)h,(2.31±0.58)h,(22.23±2.15)h,(56.23±1.23)h,and(7.15±1.33)d in the control group,and the differences were statistically significant(t=6.452,4.828,8.782,24.463,21.285,5.221;P<0.05).The postoperative complication rate 3.8% in the observation group was lower than 25.0% in the control group,and the difference was statistically significant(χ^(2)=4.638,P<0.05).After the intervention,the physical function,responsibility of emotion,social function,somatic pain,mental health,energy,role-physical,and overall health scores in the observation group were higher than those in the control group,and the differences were all statistically significant(P<0.05).Conclusion The application of the concept of fast-track surgery has remarkable effect in the prevention of postoperative abdominal distension in patients undergoing gynecologic laparoscopic surgery,and it can reduce the occurrence of postoperative abdominal distension and improve the quality of life.
作者
张彤
任芳
ZHANG Tong;REN Fang(Zhuanghe Maternal and Child Health and Family Planning Service Center,Zhuanghe 116400,China)
出处
《中国现代药物应用》
2022年第6期241-243,共3页
Chinese Journal of Modern Drug Application
基金
国家自然科学基金资助项目(项目编号:81501235)。
关键词
腹腔镜手术
术后腹胀
快速康复理念
Laparoscopic surgery
Postoperative abdominal distension
Fast-track surgery concept
