快速康复护理在肾脏部分切除术患者围手术期应用的可行性及安全性

杨矗，杨园*

（陕西省核工业二一五医院，陕西 咸阳，712000）

浏览次数：81次 下载次数：395次

摘要：

目的 研究在行肾脏部分切除术患者围手术期实施快速康复护理的效果与不良反应发生情况。方法 选择2015年6月至2016年6月在我院接受治疗的行肾脏部分切除术患者100 例作为研究对象，根据随机数字表法分成研究组与对照组，各 50 例。其中研究组患者应用快速康复护理，而对照组患者应用常规护理，记录并比较两组的临床效果。结果 研究组患者的留 置尿管与引流管的时间、下床时间、首次肛门排气时间、腹胀比例、首次排便时间、住院时间及并发症总发生率均明显优于对 照组（P<0.05）。结论 对于行肾脏部分切除术患者，在围手术期实施快速康复护理的效果优异，能够有效地改善胃肠功能，提 高康复速率，缩短下床与住院时间，具有较高的安全性，值得临床规范应用。

关键词：快速康复护理；胃肠功能；肾脏部分切除术；围手术期

中图分类号：R473.6 文献标志码：A文章编号：2096-1413(2018)02-0179-02

Feasibility and safety of rapid rehabilitation nursing in patients undergoing partial nephrectomy
YANG Chu, YANG Yuan *
(No.215 Hospital of Shaanxi Nuclear Industry, Xianyang 712000, China)

ABSTRACT: Objective To study the effect and adverse reactions of rapid rehabilitation nursing in patients undergoing partial nephrectomy. Methods A total of 100 cases patients undergoing received partial nephrectomy in our hospital were selected from June 2015 to June 2016, and were divided into study group and control group according to random table method, with 50 cases in each group. The patients in the study group took the rapid rehabilitation nursing, while the patients in the control group took the conventional nursing. The clinical effects were recorded and compared in the two groups. Results The installation time of catheter drainage tube, out of bed time, anal exhaust time, bloating ratio and first defecation, hospitalization time and total incidence rate of complications of the patients in the study group were better than those in the control group (P<0.05). Conclusion The rapid rehabilitation nursing in the perioperative period in patients with partial nephrectomy has excellent effect, and it can effectively improve the gastrointestinal function, increase the recovery rate, and shorten length of bed and hospital stay. It has high safety and is worthy of clinical application.
KEYWORDS: rapid rehabilitation nursing; gastrointestinal function; partial nephrectomy; perioperative period

参考文献：
[1] 韩玉娥,高颖,李红梅,等.腹腔镜肾部分切除术并发出血的护理对策[J].山东医药,2010,50(52):6.
[2] 吴小凤,盛夏,吴震杰,等.机器人辅助腹腔镜肾部分切除术的护理配合[J].解放军护理杂志,2016,33(2):35-37,73.
[3] 潘翠青,陈婷婷,杨小雪,等.后腹腔镜保留肾单位手术围手术期护理体会[J].海南医学,2016,27(17):2914-2916.
[4] IWASAKI Y,KAZAMA JJ,YAMATO H,et al.Accumulated uremic toxins attenuate bone mechanical properties in rats with chronic kidney disease[J].Bone,2013,57(2):477-483.
[5] CHOI JE,YOU JH,KIM DK,et al.Comparison of perioperative out原 comes between robotic and laparoscopic partial nephrectomy: a systematic review and meta-analysis[J].Eur Urol,2015,67(5):891-901.
[6] 樊瑞霞.经腹膜后腹腔镜下肾部分切除术的护理配合[J].中国冶金 工业医学杂志,2016,33(1):58-59.