CAJ | 학술논문

目的：探讨快速康复理论在腹腔镜胆囊切除术患者术后康复中的护理研究。方法将我院2013年01月至2014年4月进行腹腔镜胆囊切除术的120例患者随机分为观察组和对照组，对照组采用常规护理，观察组采用快速康复理论指导护理，比较两组患者的术后康复情况。结果两组的手术时间无统计学意义（ P＞0.05）。观察组的术前低血糖、口渴饥饿、术后恶心呕吐、咽喉疼痛、感染率少于对照组，有统计学意义（ P＜0.05）。观察组肠鸣音恢复时间、进食时间、下床活动时间、排气时间、排便时间、住院时间均短于对照组，血皮质醇低于对照组，有统计学意义（ P＜0.05）。结论快速康复理论能够加快腹腔镜胆囊切除术患者术后康复，减少并发症。
목적：탐토쾌속강복이론재복강경담낭절제술환자술후강복중적호리연구。방법장아원2013년01월지2014년4월진행복강경담낭절제술적120례환자수궤분위관찰조화대조조，대조조채용상규호리，관찰조채용쾌속강복이론지도호리，비교량조환자적술후강복정황。결과량조적수술시간무통계학의의（ P＞0.05）。관찰조적술전저혈당、구갈기아、술후악심구토、인후동통、감염솔소우대조조，유통계학의의（ P＜0.05）。관찰조장명음회복시간、진식시간、하상활동시간、배기시간、배편시간、주원시간균단우대조조，혈피질순저우대조조，유통계학의의（ P＜0.05）。결론쾌속강복이론능구가쾌복강경담낭절제술환자술후강복，감소병발증。
Objective To explore fast track surgery in postoperative rehabilitation of laparoscopic cholecystectomy.Methods From December 2013 to April 2014 , 120 cases of laparoscopic cholecystectomy patients in our hospital were randomly divided into the obser -vation group and the control group , the control group was received routine nursing , the observation group was given f fast track surgery nurs-ing, two groups were compared with postoperative rehabilitation.Results There was no significant difference of operation time between two groups (P>0.05) .Preoperative hypoglycemia, hungry, thirsty group of postoperative nausea and vomiting , sore throat, infection rate in the observation were less than those in the control group , with statistical significance (P<0.05) .The recovery of bowel sound , eating time, ambulation time , exhaust time , defecation time , hospitalization time in the observation group were shorter than those in the control group , blood glucose time was lower than that in the control group , with statistical significance ( P<0.05 ) .Conclusions Fast track surgery can accelerate rehabilitation and reduce the complications of laparoscopic cholecystectomy .