腹腔镜子宫肌瘤剔除术后早期护理介入的效果
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摘要
目的探讨早期护理介入对腹腔镜子宫肌瘤剔除术患者胃肠功能及生理应激的影响。方法选取本科室2015年1月—2016年5月收治腹腔镜子宫肌瘤剔除术患者40例为对照组,采用常规护理。选取2016年6月—2017年12月腹腔镜子宫肌瘤剔除术患者40例为观察组,在常规护理的基础上采用早期护理介入。比较2组术后胃肠功能的状况及生理应激反应。结果观察组术后的首次排气时间、首次排便时间短于对照组(P <0. 05),腹胀、恶心呕吐少于对照组(P <0. 05),术后24 h的胃泌素水平高于对照组(P <0. 05)。观察组术后24 h的C反应蛋白(CRP)、白细胞介素6(IL-6)、皮质醇(COR)水平均低于对照组(P <0. 05)。结论早期护理介入能够减轻腹腔镜子宫肌瘤剔除术患者的生理应激反应,促进胃肠功能恢复,减少腹胀、恶心呕吐。
Objective To investigate the effect of early nursing intervention on gastrointestinal function and physiological stress for patients undergoing laparoscopic myomectomy. Methods A total of 60 patients with laparoscopic myomectomy in our department from January 2015 to May 2016 were selected as the control group,and were given routine nursing. Another 60 patients with the same surgery in our department from June 2016 to December 2017 were selected as observation group,and were conducted early nursing intervention on the basis of routine nursing. The gastrointestinal function and physiological stress were compared between the two groups. Results The time to first defecation and first exhaust of the observation group were shorter,and the abdominal distension,nausea and vomiting were less than those of the control group( P < 0. 05),and the gastrin level at 24 h after the operation was higher than that of the control group( P < 0. 05). The levels of C-reactive protein( CRP),leukocyte intervention 6( IL-6) and cortisol( COR) at 24 hours after operation in the observation group were lower than those in the control group( P < 0. 05). Conclusion Early nursing intervention can alleviate the physiological stress reaction of patients undergoing laparoscopic myomectomy,promote the recovery of gastrointestinal function,and reduce abdominal distension,nausea and vomiting.
Objective To investigate the effect of early nursing intervention on gastrointestinal function and physiological stress for patients undergoing laparoscopic myomectomy. Methods A total of 60 patients with laparoscopic myomectomy in our department from January 2015 to May 2016 were selected as the control group,and were given routine nursing. Another 60 patients with the same surgery in our department from June 2016 to December 2017 were selected as observation group,and were conducted early nursing intervention on the basis of routine nursing. The gastrointestinal function and physiological stress were compared between the two groups. Results The time to first defecation and first exhaust of the observation group were shorter,and the abdominal distension,nausea and vomiting were less than those of the control group( P < 0. 05),and the gastrin level at 24 h after the operation was higher than that of the control group( P < 0. 05). The levels of C-reactive protein( CRP),leukocyte intervention 6( IL-6) and cortisol( COR) at 24 hours after operation in the observation group were lower than those in the control group( P < 0. 05). Conclusion Early nursing intervention can alleviate the physiological stress reaction of patients undergoing laparoscopic myomectomy,promote the recovery of gastrointestinal function,and reduce abdominal distension,nausea and vomiting.
引文
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[10]黄锦华,赵若华,黄惠榕,等.消胀贴穴位贴敷对腹腔镜子宫肌瘤剔除术后患者胃肠功能恢复的影响[J].护理学报,2016,23(13):62-64.
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[13]詹笑春,江美英,曹开球.排气康复操减轻腹腔镜胆囊切除术后肩部疼痛的效果观察[J].护理学杂志,2016,31(10):109-1100.
[14]张慈,翟惠敏.妇科腹腔镜术后早期进食对患者机体功能恢复的影响[J].广东医学,2017,38(5):808-810.
[15]李威,刘念,张士泰.妇科恶性肿瘤经腹手术术后咀嚼口香糖对胃肠功能恢复的影响[J].中华肿瘤防治杂志,2016,23(3):198-202.
[16]赵雪莹.快速康复外科对腹腔镜胆囊切除术患者术后应激反应与血糖的影响[J].中国医药导报,2016,13(26):132-135.
[2]王震秋,陈静宜.腹腔镜子宫肌瘤切除患者的围术期护理[J].中国肿瘤临床与康复,2016,23(3):366-368.
[3]于秀丽,于婷婷,赖金玲.妇科腹腔镜术后并发症的护理新进展[J].护理实践与研究,2015,12(3):24-25.
[4]郭礼萍.妇科腹腔镜手术患者的围术期护理[J].实用临床医药杂志,2015,19(22):167-168.
[5]谭红,胡晓芸.临床护理路径应用于子宫肌瘤患者围手术期效果观察[J].陕西医学杂志,2016,45(3):383-384.
[6]曾丽华,乔成平,王爱琳,等.思维导图在经腹全子宫切除术后并发症预防护理中的应用[J].护理学杂志,2014,29(18):75-77.
[7]叶建梅,叶建珍,胡丹.路径式运动疗法在腹腔镜子宫切除术患者中的应用[J].医疗装备,2019,32(3):4-5.
[8]张延英. FTS对腹腔镜胆囊切除术围手术期患者应激反应的影响[J].海南医学院学报,2015,21(12):1652-1654.
[9]唐婉,郭宪民,牛亮,等.快速康复外科理念应用于腹腔镜子宫肌瘤切除患者围手术期护理中的临床效果[J].贵州医药,2018,42(1):122-123.
[10]黄锦华,赵若华,黄惠榕,等.消胀贴穴位贴敷对腹腔镜子宫肌瘤剔除术后患者胃肠功能恢复的影响[J].护理学报,2016,23(13):62-64.
[11]李明霞.腹腔镜辅助下阴式子宫切除术对患者应激反应及机体功能恢复的影响[J].淮海医药,2018,36(5):550-551.
[12]陈秀云.思维导图在妇科微创手术患者自我管理中的应用探析[J].当代护士,2017,16(5):74-76.
[13]詹笑春,江美英,曹开球.排气康复操减轻腹腔镜胆囊切除术后肩部疼痛的效果观察[J].护理学杂志,2016,31(10):109-1100.
[14]张慈,翟惠敏.妇科腹腔镜术后早期进食对患者机体功能恢复的影响[J].广东医学,2017,38(5):808-810.
[15]李威,刘念,张士泰.妇科恶性肿瘤经腹手术术后咀嚼口香糖对胃肠功能恢复的影响[J].中华肿瘤防治杂志,2016,23(3):198-202.
[16]赵雪莹.快速康复外科对腹腔镜胆囊切除术患者术后应激反应与血糖的影响[J].中国医药导报,2016,13(26):132-135.