引用本文:魏玉萍,徐先栋.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):93-96.[点击复制]
weiyup,xu xi,ong.[en_title][J].[journal_en_name],2018,[volume]([issue]):93-96.[点击复制]
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围手术期整体护理干预对急性胆囊炎患者术后康复及免疫功能的影响
魏玉萍,徐先栋
0
(甘肃省武威市民勤县人民医院普外科)
摘要:
目的 探讨围手术期整体护理干预对急性胆囊炎患者术后康复及免疫功能的影响。方法 回顾分析2016年1月至2017年6月武威市民勤县人民医院收治的196例急性胆囊炎患者临床资料,其中94例围手术期采用一般常规护理措施(对照组),102例实施整体护理干预(观察组),比较两组患者术后并发症、术后住院时间以及术后免疫因子水平的变化。结果 观察组术后并发症发生率低于对照组(P<0.05),下床活动时间及住院时间均短于对照组(P<0.05)。从术前到术后7 d,两组血清IgA、IgG及CD4+、CD8+水平呈现先降后升趋势,其中观察组在术后24 h、72 h及7 d的IgA水平及术后7 d的IgG水平均高于对照组(均P<0.05)。结论 围手术期整体护理干预较一般性常规护理对减低患者术后并发症的发生,缩短术后下床活动时间及住院时间有效,并可能提高患者免疫功能,有利患者术后恢复。
关键词:  围手术期  整体护理  急性胆囊炎  免疫功能
DOI:
基金项目:
Effect of perioperative Holistic Nursing on postoperative rehabilitation and immune function in patients with acute cholecystitis
weiyup,xu xiandong
(Department of general surgery, Minqin People's Hospital)
Abstract:
Objective To investigate the effect of perioperative holistic nursing on postoperative rehabilitation and immune function of patients with acute cholecystitis. Methods The clinical data of 196 patients with acute cholecystitis who were treated in Minqin People's Hospitalfrom January 2016 to June 2017 were analysed retrospectively. Ninety-four patients with acute cholecystitis were treated with routine nursing at perioperative period(control group), while 102 patients with acute cholecystitis were treated with holistic nursing at perioperative period(observation group). The complications, adverse reactions, postoperative hospitalization time and the levels of immune factors after operation between two groups were compared. Results The complication rate in observation group was significantly lower than that in control group (P<0.05). And the patients in observation group of postoperative ambulation time and hospitalization time were significantly shorter than those in control group (P<0.05). The levels of IgA, IgG, CD4+ and CD8+ in two groups were decreased and then increased from before and after 7d of the operation. After 24h, 72h and 7d of the operation, the level of IgA in observation groupwas significantly higher than that in control group (P<0.05)respectively. After 7d of the operation, the level of IgG in observation group was significantly higher than that in control group(P<0.05). Conclusion Compared with routine nursing, perioperative nursing intervention can effectively reduce the incidence of postoperative complications and shorten the time of postoperative ambulation and hospitalization time which improves the immune function and recovery of patients.
Key words:  Perioperative period  Holistic Nursing  Acute cholecystitis  Immune function

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