CAJ | 학술논문

目的探讨快速康复护理对腹腔镜微创术患者不留置胃肠减压管并施行早期进食的影响.方法选择220例腹腔镜微创术切除胃肠,胆囊及子宫的患者,分为对照组100例,观察组120例,对照组术中常规放置胃肠减压管,术后行常规护理,观察组术中不留置胃肠减压管,术后施行早期恢复进食的快速康复护理,进行临床对比观察.结果观察组肠鸣音恢复时间,肛门排气时间均比对照组提前(P＜0.01),咽喉疼痛,恶心呕吐(PONV)病例明显减少(P＜1.01),住院时间也比对照组明显缩短(P＜0.01),而且两组并发症发生率差异无统计学意义(P＞0.05).结论快速康复护理是安全可行的,可减少患者痛苦,实现快速康复.
목적 탐토쾌속강복호리대복강경미창술환자불류치위장감압관병시행조기진식적영향.방법 선택220례복강경미창술절제위장,담낭급자궁적환자,분위대조조100례,관찰조120례,대조조술중상규방치위장감압관,술후행상규호리,관찰조술중불류치위장감압관,술후시행조기회복진식적쾌속강복호리,진행림상대비관찰.결과 관찰조장명음회복시간,항문배기시간균비대조조제전(P＜0.01),인후동통,악심구토(PONV)병례명현감소(P＜1.01),주원시간야비대조조명현축단(P＜0.01),이차량조병발증발생솔차이무통계학의의(P＞0.05).결론 쾌속강복호리시안전가행적,가감소환자통고,실현쾌속강복.
Objective To investigate the effect of rapid recovery nursing without the use of gastrointestinal decompression tube and with early food intake on patients with minimally-invasive laparoscopic surgery. Methods Two hundred and twenty patients with resection of the stomach, intestine, gallbladder and uterus using minimally-invasive laparoscopic surgery were enrolled in this study, with an observation group (120patients) and a control group (100 patients) established. The control group was treated with the placement of gastrointestinal decompression tube during surgery and regular nursing following surgery, whereas the observation group had no placement of gastrointestinal tube during surgery and were treated with rapid recovery nursing and early food intake for comparison with the control group. Results The recovery times of both the bowel sound and the passage of gas by anus in the observation group were earlier than the control group (P ＜0. 01). Cases with sore throat, nausea and vomiting were significantly reduced (P ＜ 0. 01), and the hospital stay was also significantly reduced in the observation group (P ＜0. 01) compared with the control group. Furthermore, no significant difference existed in the complication rate in both groups (P ＞ 0. 05). Conclusions Rapid recovery nursing is feasible and safe, and can reduce the pain and enable a quick recovery following laparoscopic surgery.