摘要
目的探讨腹腔镜肝叶切除术后患者早期下床活动的量化实施效果。方法选取我院行腹腔镜肝叶切除术的患者60例作为研究对象,随机分为对照组(n=30,予以常规早期下床活动)和试验组(n=30,予以量化早期下床活动)。对比两组围手术期相关指标、术后并发症发生率及活动依从性等差异。结果与对照组相比,试验组首次排气时间、首次排便时间均更短(P<0.05),而两组住院时间无统计学差异(P>0.05);试验组有4例患者出现腹胀并发症发生率为13.33%(4/30),对照组有12例患者出现腹胀,并发症发生率为40.00%(12/30),试验组并发症发生率更低(P<0.05);试验组活动依从性(93.33%)高于对照组(66.67%)(P<0.05)。结论早期下床活动量化干预可显著促进腹腔镜肝叶切除术患者术后胃肠功能恢复,降低术后并发症风险,提高患者早期下床活动依从性。
Objective To investigate quantitative implementation effect of early getting out of bed of patients after laparoscopic lobectomy.Methods We chose 60 cases of laparoscopic lobectomy patients in our hospital as research objects,divided them into control group(n=30,routine early getting out of bed)and experimental group(n=30,quantifying early getting out of bed)randomly.Compare differences in perioperative related indicators,postoperative complications and activity compliance between two groups.Results First exhaust time and first defecation time in experimental group was shorter than control group(P<0.05),there was no statistical difference in length of stay between two groups(P>0.05);4 cases in experimental group had abdominal distension,with complicated incidence rate of 13.33%(4/30),12 cases in control group had abdominal distension,with complication rate of 40.00%(12/30).Incidence of complications in experimental group was lower(P<0.05);activity compliance(93.33%)was higher than control group(66.67%),(P<0.05).Conclusion Quantitative intervention of early getting out of bed activity can promote recovery of gastrointestinal function of patients with laparoscopic lobectomy significantly,reduce risks of postoperative complications,and improve compliance with early getting out of bed.
作者
林晓丽
LIN Xiao-li(Deyang People's Hospital,Deyang,Sichuan,618099)
出处
《智慧健康》
2020年第30期68-69,76,共3页
Smart Healthcare
关键词
腹腔镜
肝叶切除术
早期下床活动
量化
Laparoscopy
Lobectomy
Early getting out of bed
Quantification
