术后早期促康护理措施对肝癌开放性手术患者胃肠功能恢复的效果

Effect of early postoperative rehabilitation-enhanced nursing on recovery of gastrointestinal function in hepatic carcinoma patients with open surgery

  • 摘要:
      目的  探讨术后早期促康护理在肝癌开放性手术中的应用。
      方法  选取接受术后早期促康护理的35例肝癌开放性手术患者设为观察组,另选取30例接受术后常规护理的肝癌开放性手术患者设为对照组,比较2组患者的胃肠功能等。
      结果  观察组的胃肠蠕动时间、排气时间、排便时间、普通饮食时间、输液时间、住院时间分别为(16.25±3.42) h、(25.21±5.63) h、(68.12±6.35) h、(2.31±0.75) d、(6.02±1.23) d、(10.21±2.37) d, 显著短于对照组的(20.51±4.25) h、(48.24±15.32) h、(80.47±12.81) h、(4.15±1.57) d、(8.45±2.62) d、(14.36±3.47) d(P < 0.05); 观察组术后5 d的血清白蛋白(35.15±3.92) g/L显著高于对照组的(32.02±3.98) g/L, 谷丙转氨酶(186.52±45.76) U/L和谷草转氨酶(100.54±29.58) U/L显著低于对照组的(250.21±55.53)、(140.26±31.05) U/L(P < 0.05)。
      结论  早期促康护理能够促进肝癌开放手术患者胃肠功能的恢复,改善肝功能。

     

    Abstract:
      Objective  To investigate the effect of early postoperative rehabilitation-enhanced nursing for hepatic carcinoma patients with open surgery.
      Methods  A total of 35 patients with open surgery receiving early rehabilitation-enhanced nursing were selected as observation group, and another 30 hepatic carcinoma patients with open surgery receiving routine nursing in our department were as control group. Gastrointestinal function were compared between the two groups.
      Results  The gastrointestinal motility time, exhaust time, defecation time, normal diet time, transfusion time, and length of hospital stay of the observation group were (16.25±3.42) h, (25.21±5.63) h, (68.12±6.35) h, (2.31± 0.75) d, (6.02±1.23) d, (10.21±2.37) d, respectively, which were significantly shorter than (20.51±4.25) h, (48.24±15.32) h, (80.47±12.81) h, (4.15±1.57) d, (8.45±2.62) d, (14.36±3.47) d, respectively, in the control group(P < 0.05). Serum albumin at 5 d after surgery was(35.15±3.92) g/L, which was significantly higher than (32.02±3.98) g/L in the control group, the levels of glutamic-pyruvic transaminase and glutamic oxalacetic transaminase were (186.52±45.76) U/L, and (100.54±29.58) U/L, respectively, which were lower than (250.21±55.53), (140.26±31.05) U/L, respectively, in the control group(P < 0.05).
      Conclusion  Early rehabilitation-enhanced nursing can promote the recovery of gastrointestinal function and improve the liver function of hepatic carcinoma patients with open surgery.

     

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