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International Journal of Clinical Research. 2019; 3: (1) 5; DOI:10.26855/j.ijcr.20190005.

Application of Early Quantitative Activity Program in Accelerated Rehabilitation after Laparoscopic Hepatectomy
术后早期量化活动方案在腹腔镜肝切除患者术后加速康复中的应用

作者: 周蓝,马娜*,卜冬梅,陶静,龚连生

*通讯作者:马娜,单位:中南大学湘雅医院;

引用本文: 周蓝,马娜,卜冬梅,陶静,龚连生. 术后早期量化活动方案在腹腔镜肝切除患者术后加速康复中的应用[J]. 国际临床研究杂志, 2019, 3(1) : 19-25.
Published: 2019-07-09

摘要

目的:研究探讨术后早期量化活动方案在腹腔镜肝切除患者术后加速康复中的应用效果。方法:选取2017年6月~2018年12月在本院接受腹腔镜肝切除患者96例为研究对象,随机分为观察组和对照组,各48例。对照组患者围术期常规护理干预,观察组在此基础上增加术后早期量化活动方案干预。对两组患者的术后恢复指标、下床活动情况、疼痛评分、睡眠质量、并发症发生率、等进行评估对比。结果:观察组患者首次排气时间、开始下床活动时间、住院时间、住院费用均低于对照组患者,组间比较差异有统计学意义(P<0.05)。观察组在术后第1d、第2d、第3d活动步数、活动距离均高于对照组患者,组间比较差异有统计学意义(P<0.05)。观察组在术后第1d、第2d、第3d疼痛评分低于对照组,睡眠时间高于对照组,组间差异明显(P<0.05)。观察组并发症发生率为6.25%(4/48),低于对照组患者为16.67%(8/48),组间差异显著(P<0.05)。结论:术后早期量化活动方案在腹腔镜肝切除患者术后加速康复中的应用效果良好,能够加速患者术后的康复进程,能指导患者术后正确安排活动并增加活动量,改善睡眠治疗,降低并发症发生率。

关键词: 腹腔镜肝切除术;加速康复;早期量化活动方案;活动量

Abstract

Objective: To study the effect of early quantitative activity program in accelerated rehabilitation after laparoscopic hepatectomy.
Methods: 96 patients who underwent laparoscopic hepatectomy in our hospital from June 2017 to December 2018 were randomly divided into observation group and control group, 48 cases in each group. Patients in the control group received routine nursing intervention during perioperative period, while patients in the observation group received early quantitative activity program intervention after operation. The two groups were evaluated and compared in terms of recovery index, out-of-bed activity, pain score, sleep quality, incidence of complications and so on.
Results: The first exhaust time, the time of getting out of bed, the time of hospitalization and the cost of hospitalization in the observation group were lower than those in the control group, and the difference between the two groups was statistically significant (P<0.05). The activity steps, distance and time of the observation group on the 1st, 2nd and 3rd day after operation were higher than those of the control group, and there was significant difference between the two groups (P<0.05). The pain scores of the observation group on the 1st, 2nd and 3rd day after operation were lower than those of the control group, and the sleep time was higher than that of the control group. The difference between the two groups was significant (P<.05). The incidence of complications in the observation group was 8.33% (4/48), which was lower than that in the control group (25.00% (12/48). There was a significant difference between the two groups (P<0.05).
Conclusion  : Quantitative activity program in early stage after laparoscopic hepatectomy has good effect in accelerating the recovery of patients after laparoscopic hepatectomy. It can accelerate the recovery process of patients after laparoscopic hepatectomy, increase the activity of patients after operation, improve sleep therapy and reduce the incidence of complications.

Key words: Laparoscopic hepatectomy; Accelerated rehabilitation; Early quantitative activity program; Activity

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