临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (2): 127-.

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加速康复外科理念下胆囊结石手术护理路径的构建与应用效果

  

  1. 扬州大学附属兴化市人民医院 普外科,江苏 兴化 225700
  • 出版日期:2025-04-01 发布日期:2025-08-13

The construction and application effect of the surgical nursing pathway for gallbladder stones under the concept of enhanced recovery after surgery

  1. Genaral Surgery Department of Xinghua People's Hospital Affiliated to Yangzhou University, Jiangsu Xinghua 225700, China
  • Online:2025-04-01 Published:2025-08-13

摘要:

目的 分析和研究加速康复外科理念下胆囊结石手术护理路径的构建方式与应用效果。方法 选取扬州大学附属兴化市人民医院 2024 年 1 月至 12 月收治的行手术治疗的胆囊结石患者 70 例,按照随机数字表法进行分组,奇数为对照组(35 例),实施常规手术护理,偶数为观察组(35 例),实施基于加速康复外科理念的手术护理路径干预。对比护理后两组患者的手术相关指标、生活质量及并发症发生情况。结果 观察组患者的手术时间、胃肠道恢复时间及住院时间均短于对照组,术中出血量少于对照组患者,术后 7d 生活质量各项得分均高于对照组,差异均有显著性(P < 0.05)。观察组患者并发症总发生率为 5.71%,明显低于对照组(14.29%),差异有显著性(P < 0.05)。结论 加速康复外科理念下胆囊结石手术护理路径的应用,能提升患者手术相关指标以及生活质量,降低患者术后并发症发生风险。

关键词: 加速康复外科, 胆囊结石, 手术护理路径

Abstract:

Objective To analyze and study the construction methods and application effects of the surgical nursing pathway for gallbladder stones under the concept of enhanced recovery after surgery. Method A total of 70 patients with gallbladder stones who underwent surgical treatment and were admitted to Xinghua People's Hospital Affiliated to Yangzhou University from January to December 2024 were selected and grouped according to the random number table method. The odd number group was the control group (35 cases), which received routine surgical care, and the even number group was the observation group (35 cases). Implement surgical nursing pathway intervention based on the concept of accelerated postoperative rehabilitation. Compare the surgical related indicators, quality of life, and incidence of complications between two groups of patients after nursing care. Result The operation time, gastrointestinal recovery time and hospital stay of patients in the observation group were all shorter than those in the control group. The intraoperative blood loss was less than that of patients in the control group. The scores of each item of postoperative 7d quality of life in the observation group were all higher than those in the control group. The differences were all significant (P < 0.05). The incidence of complications in the observation group was 5.71%, which was significantly lower than that in the control group (14.29%), and the difference was significant (P < 0.05). Conclusion The application of the surgical nursing pathway for gallbladder stones under the concept of accelerated postoperative rehabilitation can improve the surgery-related indicators and quality of life of patients and reduce the risk of postoperative complications.

Key words: Enhanced recovery after surgery, Gallbladder stones, Surgical care pathway