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目的探讨腹腔镜胆囊阑尾联合切除术围术期的有效护理方法。方法选取2016年2—8月行腹腔镜胆囊联合阑尾切除术治疗的患者80例。采用抽签的方法分为观察组和对照组各40例,对照组围术期给予常规护理,观察组给予快速康复护理,比较两组术后康复情况及护理满意度,数据采用SPSS15.0统计学软件进行处理。结果观察组术后下床活动时间、肛门排气时间、正常饮食时间、住院时间均短于对照组,比较差异均有统计学意义(t=9.349、4.796、5.504、8.344,均P<0.05);观察组并发症发生率为5.0%低于对照组的20.0%,比较差异有统计学意义(χ~2=4.114,P<0.05);观察组护理满意度为100.0%高于对照组的90.0%,比较差异有统计学意义(χ~2=6.806,P<0.05)。结论对腹腔镜胆囊联合阑尾切除术的患者围术期实施快速康复护理能够加速患者的术后康复。
Objective To investigate the effective nursing of perioperative period of laparoscopic cholecystectomy combined with appendectomy. Methods Eighty-eight patients with laparoscopic cholecystectomy and appendectomy from February to August 2016 were selected. The method of lottery was divided into the observation group and the control group of 40 cases, the control group were given routine care during the perioperative period, the observation group were given rapid rehabilitation care, rehabilitation and nursing satisfaction were compared between the two groups, the data using SPSS15.0 statistics Software processing. Results The time of ambulation, anal exhaust time, normal eating time and hospital stay in the observation group were shorter than those in the control group (t = 9.349, 4.796, 5.504 and 8.344, all P <0.05) ; The incidence of complications in the observation group was 5.0% lower than that in the control group (20.0%), the difference was statistically significant (χ ~ 2 = 4.114, P <0.05); the nursing satisfaction of the observation group was 100.0% %, The difference was statistically significant (χ ~ 2 = 6.806, P <0.05). Conclusion Perioperative implementation of rapid rehabilitation nursing for patients with laparoscopic cholecystectomy combined with appendectomy can speed up postoperative rehabilitation.