摘要
目的探讨抗生素联合格拉司琼及加强术后护理对腹腔镜胆囊切除患者术后生活质量的影响。方法将进行腹腔镜胆囊切除术的142例患者随机分为试验组和对照组,每组71例,两组均接受术前术后抗生素治疗及相关护理,试验组在此基础上给予麻醉插管前3mg格拉司琼静脉注射、对照组则给予5ml生理盐水静脉注射。结果试验组术后并发症发生率为19.7%、对照组为40.8%,试验组显著低于对照组(P<0.05);试验组术后排气时间(18.3±5.3)h、肠蠕动恢复时间(10.5±2.8)h均短于对照组(23.7±5.9)h和(13.7±3.9)h,差异有统计学意义(P<0.05);两组住院时间差异比较无统计学意义(P>0.05)。试验组术后2周和5周生活质量评分为(110.1±7.2)分和(120.7±7.6)分,均高于对照组(107.6±7.5)分和(117.1±7.8)分,差异均有统计学(P<0.05)。结论抗生素联合格拉司琼及正确的护理措施能有效的改善腹腔镜胆囊切除患者术后的生活质量,可在临床推广使用。
Objective To explore the improvement of antibiotics combined with granisetron on life quality of Laparoscopic cholecystectomy patients and the nursing strategy.Methods 142 Laparoscopic cholecystectomy patients were randomly divided into experiment group and control group.The two groups were all accepted the antibiotics treatment and care.The experiment group accepted 3mg granisetron,wihile the control group accepted 5ml normal saline.Results The complication rate of the experiment group was 19.7%,which was lower than that of the control group（40.8%,P〈0.05）.The exhaust time and peristalsis recovery time were（18.3±5.3）h and（10.5±2.8）h,which were lower than that of the control group.The quality of life score of the experiment group of 2-week and 5-week were（110.1±7.2）points and（120.7±7.6）points,which were higher than that of the control group.Conclusion The antibiotics combined with granisetron and proper care measures can improve the life quality of Laparoscopic cholecystectomy patients.
出处
《西部医学》
2014年第7期933-934,937,共3页
Medical Journal of West China
基金
陕西省科学技术研究发展计划项目(2001K10-G6)
