摘要
目的了解快速康复外科(ERAS)护理模式结合耳穴压豆对肝胆外科术后患者胃肠功能的影响。方法将2020年1月1日至2021年4月12日该院80例肝胆外科术后患者纳入研究,分为两组(各40例),对照组实施围手术期常规护理,干预组实施围手术期ERAS护理模式结合耳穴压豆。比较两组术后恢复时间、胃肠激素水平、炎性反应、不良反应及住院时间。结果干预组肠鸣音恢复、肛门排气、肛门排便及下床活动时间早于对照组,住院时间短于对照组。术前,两组血清胃动素(MTL)、胃泌素(GAS)、C反应蛋白(CRP)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平比较无显著性差异;术后5 d,两组血清MTL、GAS水平较干预前下降,CRP、IL-6、TNF-α水平较干预前上升,干预组变化幅度小于对照组。干预组并发症发生率低于对照组,两组比较有显著性差异(P<0.05)。结论ERAS护理模式结合耳穴压豆有助于肝胆外科术后患者胃肠功能恢复,改善胃肠激素水平,减轻炎症反应,降低并发症发生率,缩短住院时间,值得推广。
Objective To investigate the Enhanced Recovery After Surgry(ERAS)nursing mode combined with ear acupoint pressing on gastrointestinal function in patients after liver and gallbladder surgery.Methods From January 1,2020 to April 12,2021,80 postoperative patients in the liver and gallbladder surgery department of the hospital were included in the study and divided into two groups(each with 40 cases).The control group received routine perioperative care,while the intervention group received perioperative ERAS nursing mode combined with ear point pressing.Compare the postoperative recovery time,gastrointestinal hormone levels,inflammatory reactions,adverse reactions,and hospital stay between the two groups.Results showed that the intervention group had earlier recovery of bowel sounds,anal exhaust,anal defecation,and bed mobility than the control group,and shorter hospitalization time than the control group.Before operation,serum motilin(MTL),gastrin(GAS),C-reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)There was no significant difference in level comparison;On the 5th day after surgery,the serum MTL and GAS levels in both groups decreased compared to before intervention,while CRP,IL-6,and TNF levels decreased-αThe level increased compared to before the intervention,and the amplitude of change in the intervention group was smaller than that in the control group.The incidence of complications in the intervention group was lower than that in the control group,and there was a significant difference between the two groups(P<0.05).Conclusion The ERAS nursing model combined with ear acupoint pressing can help patients after liver and gallbladder surgery recover gastrointestinal function,improve gastrointestinal hormone levels,reduce inflammatory reactions,reduce the incidence of complications,and shorten hospital stay.It is worth promoting.
作者
邓梦碟
林晓霞
DENG Mengdie;LIN Xiaoxia(The Peoples's Hospital of Gaozhou,Gaozhou City,Guangdong Province,China525200)
出处
《卫生职业教育》
2023年第13期155-158,共4页
HEALTH VOCATIONAL EDUCATION
关键词
快速康复外科护理模式
耳穴压豆
肝胆外科
胃肠功能
炎性因子
Enhanced recovery after surgry
Ear acupoint pressing
Hepatobiliary surgery
Gastrointestinal function
Inflammatory factor
