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肝胆外科手术患者使用头孢抗生素后的不同的护理效果研究

Study on Different Nursing Effects After Using Cephalosporin in Department of Hepatobiliary Surgery
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摘要 目的:研究肝胆外科手术患者使用头孢抗生素后的不同的护理效果。方法:本研究以88例江西省九江市第一人民医院近年(2015年06月~2017年06月)收治并行肝胆外科手术的患者为研究对象,按随机方式分成2组,每组44例。对照组配以常规护理,研究组在此基础上配以综合性全面护理,对比两组护理效果。结果:经头孢抗生素辅助治疗与护理干预后,研究组治疗有效率(97.73%)高于对照组(79.55%),差异有统计学意义(P<0.01);研究组患者术后首次排气时间[(30.20±6.65)h]、下床活动时间[(22.85±6.25)h]、进食时间[(29.20±10.10)h]、排便时间[(50.15±11.65)h]、住院时间[(7.80±2.10)d]、并发症发生率(2.27%)均低于对照组[(47.80±9.15)h、(35.16±8.95)h、(45.50±11.80)h、(73.55±13.25)h、(14.30±2.20)d、15.91%],差异有统计学意义(P<0.05)。结论:综合性全面护理对采用肝胆外科手术、头孢抗生素疗效的患者具有提高疗效、降低并发症发生率和加快康复的作用,因此有使用价值,可推广。 Objective:To study the nursing intervention effect on antibiotic treatment for surgery in the Department of hepatobiliary surgery.Methods:88 cases of hepatobiliary surgery in Jiangxi Jiujiang First People's Hospital from June 2015 to June 2017 were randomly divided into 2 groups,with 44 cases in each group.The control group was with routine nursing,the study group was with comprehensive nursing.Then the nursing effects were compared between the two groups.Results:After treatment and nursing intervention on cephalosporin antibiotics treatment,the treatment efficiency of study group(97.73%)was higher than the control group(79.55%),the difference was statistically significant(P<0.01);the postoperative first exhaust time in study group was(30.20±6.65)h,ambulation time was(22.85±6.25)h,eating time was(29.20±10.10)h,defecation time was(50.15±11.65)h,hospitalization time was 7.80±2.10 d,the complication rate was 13.64%,which were lower than the control group(47.80±9.15)h,(35.16±8.95)h,(45.50±11.80)h,(73.55±13.25)h,(14.30±2.20)d,and 34.09%),the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention can improve the curative effect,reduce the incidence of complications and accelerate the rehabilitation of patients in Department of hepatobiliary surgery operation with cephalosporin antibiotics treatment,so it has the practical value and should be promoted.
作者 朱小珍 ZHU Xiao-zhen(Jiangxi Jiujiang First People's Hospital,Jiujiang Jiangxi 332000,China)
出处 《药品评价》 CAS 2018年第5期29-31,共3页 Drug Evaluation
基金 江西省卫生科技计划项目(2010B031600197)
关键词 肝胆外科手术 头孢抗生素 护理 Department of Hepatobiliary Surgery Cephalosporin Nursing
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