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目的研究急性胃穿孔的围手术期护理方法及效果。方法收集2015年2月~2016年8月急性胃穿孔患者140例分两组,常规护理组采用围手术期常规护理;全程护理组围手术期给予全程护理服务。就两组患者术后首次出现肠鸣音、首次排气时间、出院的时间和总体满意度、组织损伤、皮下血肿等并发症发生率进行比较。结果全程护理组总体满意度明显高于常规护理组,P<0.05。全程护理组组织损伤、皮下血肿等并发症发生率明显低于常规护理组,P<0.05。全程护理组患者术后首次出现肠鸣音、首次排气时间、出院的时间均明显优于常规护理组,P<0.05。结论急性胃穿孔的围手术期全程护理方法及效果确切,可减轻损伤,加速术后肠道功能恢复,缩短住院时间,提升总体满意度,值得借鉴。
Objective To study the perioperative nursing methods and effects of acute gastric perforation. Methods A total of 140 patients with acute gastric perforation were divided into two groups from February 2015 to August 2016. The routine nursing group was given routine perioperative nursing. The full nursing group was given full-time nursing care during perioperative period. The incidence of bowel sounds, time to first discharge, time to discharge and overall satisfaction, tissue injury and subcutaneous hematoma were compared between the two groups for the first time. Results Overall satisfaction of nursing group was significantly higher than that of routine nursing group (P <0.05). The incidence of complications such as tissue injury and subcutaneous hematoma in the whole nursing group was significantly lower than that in the conventional nursing group (P <0.05). The patients in the whole nursing group had bowel sounds for the first time after operation, the time of the first discharge and the discharge time were significantly better than those of the routine nursing group (P <0.05). Conclusion Acute gastric perforation perioperative full-time nursing methods and the effect is exact, can reduce the injury, accelerate the recovery of intestinal function, shorten the length of hospital stay, improve the overall satisfaction, it is worth learning from.