摘要
目的观察并探讨临床护理路径对妇科疾病患者腹腔镜术后胃肠功能的改善作用。方法选取2013年4月-2014年4月期间接受腹腔镜手术后实施临床护理路径的80例妇科患者作为干预组；选取1年前实施常规护理接受腹腔镜手术的妇科患者80例作为对照组。统计两组患者术后肠鸣音恢复时间、首次排气时间和住院时间，及术前2h、术后24h、48h的血清胃动素和胃泌素浓度。结果干预组术后肠鸣音恢复时间、首次排气时间和住院时间分别为（25．3±4．7）h，（32．8±7．5）h，（9．7±3．2）d，对照组为（36．7±4．8）h，（46．8±9．6）h，（12．7±4．5）d，两组相比，差异具有统计学意义（t值分别为8．313，5．630，3．621；P〈0．01）；两组患者术前2hMTL和GAS水平相比，差异无统计学意义（P〉0．05），干预组患者术后24hMTL和GAS评分及术后48h两项评分分别为（318．4±16．2），（125．9±13．2），（327．2±24．8），（138，4±12．8）分均明显高于对照组（273．2士14．3），（96．1±12．1），（293．4±19．2），（109．2±11．6）分，差异具有统计学意义（t值分别为10．250，8．130，5．280，8．281；P〈0．05）。结论临床护理路径护理模式的实施能有效促进妇科患者腹腔镜术后胃肠功能的恢复，有助于患者的康复。
Objective To observe and explore the clinical value of clinical nursing pathway （CNP） topromote gastrointestinal motility in patients with gynecological diseases after laparoscopic surgery （LS）. Methods CNP nursing model were carried out in 80 patients with LS in our hospital from April 2013 to April 2014, as the intervention group; another 80 patients accepted only routine care were selected as the control group. Postoperative recovery time of bowel sounds, first exhaust time and hospital stay, serum motilin （MTL） and gastrin （GAS） concentrations at 2 h preoperative, as well as 24 h and 48 h after surgery were recorded and compared. Results The recovery time of bowel sounds, first exhaust time and hospital stay were （25.3 ± 4.7） h, （32.8 ± 7.5 ） h and （9.7 ± 3.2） d in the intervention group, and were （36.7 ± 4.8 ） h, （46.8 ± 9.6 ） h and （ 12.7 ± 4.5 ） d in the control group （ t = 8.313, 5. 630, 3. 621 ; P 〈 0.01 ） ; the difference of MTL and GAS levels at preoperative 2h between the two groups was not statistically significant （ P 〉 O. 05 ） ; MTL and GAS level were significantly higher in intervention group [ （318.4 ± 16.2）, （ 125.9 ± 13.2）, （327.2 ±24.8）, （ 138.4 ± 12.8） score] than in the control group [ （ 273.2 ± 14.3 ）, （ 96.1 ± 12. 1 ）, （ 293.4 ± 19.2 ）, （109.2 ±11.6） score] after 24 h and 48 h, the difference was statistically significant （t = 10. 250,8. 130, 5. 280,8.281 ± P 〈 0.05 ）. Conclusions CNP care model implementation can effectively promote the recovery of gastrointestinal function in gynecological oatient after IS, and helo the rehabilitation of oatients.
出处
《中华现代护理杂志》
2015年第11期1308-1311,共4页
Chinese Journal of Modern Nursing
关键词
腹腔镜
临床护理路径
妇科疾病
肠胃功能
Laparoscopic
Clinical nursing pathway
Gynecological diseases
Gastrointestinalfunction
