李静

[摘要] 目的 研究和分析加速康复护理措施对胃肠手术患者术后肠功能恢复的影响。方法 方便选取该院2014年6月—2017年4月收治的184例胃肠手术患者作为该次实验研究对象，根据护理方式的不同，将患者随机分为实验组和常规组两组患者，每组患者97例。常规组患者采用常规的护理方式，实验组患者实施快速康复外科护理措施。分析和比较两组患者的术后的各项指标、并发症情况、生活质量评分等。结果 实验组患者的下床活动时间（23.56±2.54）h、首次排气时间（32.87±3.78）h、首次进食（45.95±2.52）h、住院时间（5.84±1.88）d、肠鸣音恢复天数分别为（1.84±0.54）d，明显优于常规组的下床活动时间（42.75±3.89）h、首次排气时间（58.46±3.98）h、首次进食（68.38±4.98）h、住院时间（12.58±2.47）d、肠鸣音恢复天数（3.21±0.67）d数，比较差异有统计学意义（P<0.05）。实验组患者的肺感染、腹胀、恶心呕吐、吻合口痿、便秘等并发症例数分别为2例、0例、3例、2例、0例，明显少于常规组（7例、7例、7例、10例、15例），数据差异有统计学意义（P<0.05）。此外，实验组的各项生活质量评分明显高于常规组，诸如生理功能评分（15.26±3.21）分、心理状态评分（18.56±0.98）分，情感功能评分（18.96±0.58）分，比较差异有统计学意义（P<0.05）。结论 快速康复外科护理措施运用在胃肠手术患者中，能够加快胃肠手术患者的胃肠功能恢复，缩短患者的治疗时间，促进患者的康复，提升患者的治疗和护理效果，具有较高的临床價值，值得运用和推广。

[关键词] 加速康复护理措施；胃肠手术患者；术后肠功能恢复；影响；生活质量

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0138-05

Effect of Accelerated Rehabilitation Nursing on Postoperative Intestinal Function Recovery in Patients Undergoing Gastrointestinal Surgery

LI Jing

Digestive Disease Center， the Third Affiliated Hospital of Medical University of Chongqing， Chongqing， 401120 China

[Abstract] Objective This paper tries to study and analyze the effect of accelerated rehabilitation nursing on postoperative intestinal function recovery in patients undergoing gastrointestinal surgery. Methods 184 cases of gastrointestinal surgery patients in this hospital from June 2014 to April 2017 were conveniently selected as the research object， according to the different methods of nursing care， the patients were randomly divided into experimental group and control group， with 97 cases in each group. Patients in the conventional group received routine nursing care， while patients in the experimental group received rapid rehabilitation surgery nursing measures. The postoperative indicators， complications， quality of life score of the two groups were analyzed and compared. Results The time for getting out of bed in the experimental group was （23.56±2.54） hours， the time for the first expelling time was（32.87±3.78）h， the time for the first time eating was （45.95±2.52）h， the length of hospital stay was（5.84±1.88）d，（1.84±0.54）d， which was significantly better than that of the control group （42.75±3.89）h， the time of the first deflation （58.46±3.98）h， the time of the first meal （68.38±4.98）h and the length of hospital stay （12.58 ± 2.47）d， bowel sounds recovery days （3.21±0.67）d， the difference was statistically significant （P<0.05）. In the experimental group， the number of complications such as pulmonary infection， abdominal distension， nausea and vomiting， anastomotic atrophy and constipation were 2 cases， 0 cases， 3 cases， 2 cases and 0 cases， respectively， which were significantly less than those in the conventional group（7 cases，7 cases，7 cases，10 cases，15 cases）， the data were different（P<0.05）. In addition， the quality of life scores of the experimental group were significantly higher than those of the conventional group， such as physiological function score （15.26 ± 3.21）points， psychological status score （18.56 ± 0.98）points， emotional function score （18.96 ± 0.58）points， with statistical significance （P<0.05）. Conclusion Rapid rehabilitation surgical nursing intervention in patients with gastrointestinal surgery can speed up gastrointestinal function in patients with recovery， shorten the treatment time of patients and promote patient rehabilitation and improve patient care and care， with high clinical value ， so it is worth to use and promote.

[Key words] Accelerated rehabilitation nursing measures； Gastrointestinal surgery patients； Postoperative intestinal function recovery； Influence； Quality of life

快速康复外科护理是一种全新的护理概念，是由丹麦学者Kehlet在2011年所提出的[1]。快速康复外科护理是指对围手术期的患者实施合理性、针对性、有效性、计划性的护理方式，以便减少患者手术的应急反应，减少患者手术之后的并发症，降低患者死亡可能性，提升患者的康复效果，加快患者手术愈合进程，缩短患者住院时间，减少医疗费用的实用型护理措施[2]。快速康复外科作为新型的护理措施，已经在临床中被广泛运用，很大程度上改变以往的康复护理格局。这种护理方式以患者作为服务对象，围绕患者实施护理措施，充分考虑患者可能出现的状况，对以往的围手术期的护理思维、护理行为起到很大的更新作用，属于当今临床护理中比较先进的护理治疗措施。……