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快速康复外科应用于心脏瓣膜置换术护理中的效果及不良情况探讨 被引量:35

Study on the Effect and Adverse Condition of Fast Track Surgery in Patients Undergoing Cardiac Valve Replacement
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摘要 目的:研究并探讨快速康复外科理念应用于心脏瓣膜置换术护理中的效果及不良情况。方法:选取2013年1月~2016年10月在我院接受心脏瓣膜置换术的患者90例作为研究对象,遵循单盲随机分配原则将患者随机分为两组,每组45例。对照组实施常规护理,观察组在常规护理中加入快速康复外科理念,比较两组术后恢复情况、不良事件发生率、生活质量评分。结果:观察组术后首次排气时间、首次排便时间均早于对照组(P<0.05),其住院时间明显缩短(P<0.05);观察组的不良事件发生率明显低于对照组(P<0.05);观察组生活质量评分明显高于对照组(P<0.05)。结论:在心脏瓣膜置换术护理中应用快速康复外科理念,可有效加快术后恢复,减少不良情况,有利于改善患者术后生活质量。 Objective:To study the effect and adverse condition of fast track surgery in cardiac valve replacement.Methods:From January.2013 ~ October 2016,90 cases of patients who received heart valve replacement surgery in the hospital were selected as the research object,according to randomized single blind,the patients were randomly divided into two groups with 45 cases,the control group received routine nursing,the observation group received the concept of rapid rehabilitation surgery in the conventional nursing,postoperative recovery,the incidence of adverse events and score of life quality were compared between the two groups.Results:In the observation group,postoperative first exhaust time and first defecation time were earlier than that of the control group (P 〈 0.05),the hospitalization time was shortened (P 〈 0.05);the rate of adverse events in the observation group was significantly lower than the control group (P 〈 0.05);score of life quality in the observation group was significantly higher than the control group (P 〈 0.05).Conclusion:The application of fast track surger,in cardiac valve replacement can effectively accelerate postoperative recovery,reduce adverse conditions,is propitious to improve the quality of life after operation.
出处 《中国医药导刊》 2017年第5期518-519,共2页 Chinese Journal of Medicinal Guide
关键词 心脏瓣膜置换术 护理 快速康复外科 Heart valve replacement Nursing Fast track surgery
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