加速康复外科护理在老年胃十二指肠溃疡急诊胃大部切除术的护理效果

Abstract

目的：观察加速康复外科护理在老年胃十二指肠溃疡急诊胃大部切除术的护理效果。方法：入选2013年10月至2015年10月于我院行胃十二指肠溃疡急诊胃大部切除术的老年患者128例，随机分为对照组和观察组，对照组60例患者采用传统的胃大部切除术护理措施，观察组68例患者采用加速康复外科护理干预。观察比较两组术后恢复情况、并发症发生及平均住院时间。结果：观察组患者术后肠鸣音恢复时间、首次排气排便时间、体重下降情况、静脉营养时间及平均住院天数均明显低于对照组(P均 < 0.01)；观察组术后并发症11例(16.18%)，明显低于对照组18例(30%)，差异具有显著统计学意义(P < 0.05)。结论: 老年胃十二指肠溃疡急诊胃大部切除后行加速康复外科护理，明显降低术后并发症，促进患者恢复，值得临床应用及推广。 Object: To observe the nursing effects of fast tract surgery (FTS) nursing care on elderly patients with gastric and duodenal ulcer for emergent subtotal gastrectomy. Methods: One hundred and twenty-eight elder patients with gastric and duodenal ulcer for emergent subtotal gastrectomy, who were admitted to our hospital from October 2013 to October 2015, were randomly divided into the control group and the observation group. The control group (60 cases) was treated with routine nursing of emergent subtotal gastrectomy, and the observation group (68 cases) would receive the FTS nursing care. The surgical recovery, clinical complications and mean days of hospitalization were obtained after surgery. Results: The bowl sound recovery, the first time of aerofluxus and cacation, lessened weight, intravenous nutrition and mean days of hospitalization in the observation group were significantly decreased compared to the control group (both P < 0.01). In addition, there were 11 patients with complications (16.18%) in the observation group and 18 patients (30%) in the control group. The difference was obvious (P < 0.05). Conclusion: The FTS nursing care can significantly decrease clinical complications and improve rehabilitation after elder patients with gastric and duodenal ulcer were operated on emergent subtotal gastrectomy. Thus it is worthy of clinical application and promotion.