摘要
目的探究中医护理技术结合快速康复外科(FTS)理念在腹腔镜围手术期中的应用效果。方法选取腹腔镜手术患者86例,按随机数字表法分为观察组和对照组各43例。对照组给予FTS护理,观察组在对照组基础上给予中医护理。观察2组患者手术后排气时间、术后活动时间、住院时间差异,比较手术后1 h及手术后3 d时疼痛程度[疼痛数字评分法(NRS)]的变化,分析术前及手术1周后患者生活质量[生活质量综合评定问卷(GQOLI-74)]变化,比较术后1周内并发症发生率差异。结果观察组术后排气时间、术后活动时间、住院时间等指标均显著低于对照组,组间差异有统计学意义(P<0.05);手术后3 d时,2组患者NRS评分均较手术前显著降低,且观察组显著低于同一时间对照组(P<0.05);干预1周后,2组患者GQOLI-74各项评分均较干预前显著提升,且观察组评分明显高于同一时间对照组(P<0.05);干预1周内,观察组并发症发生率均低于对照组,但组间差异均无统计学意义(P>0.05)。结论中医护理技术结合FTS理念干预对腹腔镜手术患者可取得更佳干预效果,能显著改善患者术后疼痛程度,提升患者生活质量,促进其预后康复。
Objective To explore the application effect of TCM nursing technology combined with rapid rehabilitation surgery(FTS)in perioperative laparoscopic surgery.Methods 86 patients underwent laparoscopic surgery were divided into observation group and control group according to the random number table,with 43 cases in each group.The control group was given FTS care,and the observation group was given traditional Chinese medicine nursing technical care on the basis of the control group.The difference of postoperative exhaust time,postoperative activity time and hospitalization time between the two groups was observed.The difference of pain degree[pain number scale(NRS)]was compared at 1 h after operation and 3 days after surgery.Analysis of preoperative and operation 1 after the week,the quality of life[GQOLI-74]was changed,and the difference in the incidence of complications within 1 week after surgery was compared.Results The indexes of postoperative exhaust time,postoperative activity time and hospitalization time in the observation group were significantly lower than those in the control group.There was significant difference between the two groups(P<0.05).At 3 days after operation,the NRS scores of the two groups were higher.The number of observations was significantly lower than that of the control group(P<0.05).After 1 week of intervention,the GQOLI-74 scores of the two groups were significantly higher than those before the intervention,and the observation group score was significantly higher than that of the control group(P<0.05).The complication rate of the observation group was lower than that of the control group within 1 week,but there was no significant difference between the groups(P>0.05).Conclusion TCM nursing technology combined with FTS concept intervention can achieve better intervention effect for patients undergoing laparoscopic surgery,which can significantly improve postoperative pain,improve patients’quality of life and promote their prognosis.
作者
吴军英
WU Junying(Medical Examination Center,Liaocheng Hospital of Traditional Chinese Medicine,Shandong Province,Liaocheng 252000,China)
出处
《光明中医》
2020年第8期1251-1253,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
中医护理
快速康复外科理念
腹腔镜围手术期
traditional Chinese medicine nursing
rapid rehabilitation surgery concept
laparoscopic perioperative period
