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| The clinical application of rapid rehabilitation nursing in patients with hepatolith and portal hypertension surgery |
| ZHU Haiyue YIN Dalong SUN Dan |
| Department of Liver Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150010, China |
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Abstract Objective To explore the clinical application of the rapid rehabilitation nursing in patients with hepatolith and portal hypertension underwent surgery. Methods From June 2014 to June 2016, 90 patients with hepatolith and portal hypertension who received surgery in the First Affiliated Hospital of Harbin Medical University were selected. All the patients were divided into routine nursing group and rapid rehabilitation nursing group according to random number table, with 45 cases in each group. The perioperative indicators, quality of life and the incidence of complications of the two groups patients after surgery were compared. Results The bed activity time, eating time, the first defecation time and the length of hospital stay in the rapid rehabilitation nursing group were shorter than those in the routine nursing group, and the hospital costs in the rapid rehabilitation nursing group was less than that in the routine nursing group, with statistically significant difference (P < 0.05). The physical function, role function, emotional function, cognitive function and social function scores of the rapid rehabilitation nursing group were higher than those of the routine nursing group, with the statistically significant difference (P < 0.05). The total incidence of complications in the rapid rehabilitation nursing group was lower than that in the routine nursing group, with statistically significant difference (P < 0.05). Conclusion The application of rapid rehabilitation nursing in patients with hepatolith and portal hypertension surgery can improve perioperative indicators, speed up the recovery and improve the postoperative quality of life, reduce the incidence of complications.
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[1] 周群，王克成，吴宁，等.经皮胆总管探查内置管内引流术治疗胆道多发结石[J].中华消化外科杂志，2011，10（3）：182-184.
[2] 周碧英.整体护理在胆管癌患者围手术期的效果观察[J].北方药学，2013，10（3）：166-167.
[3] 姚礼庆，钟芸诗，周嘉敏.胆管狭窄内镜治疗的现状与评价[J].中华消化外科杂志，2012，11（5）：414-418.
[4] 朱新福.肝胆管结石手术患者围术期护理[J].中国当代医药，2013，20（15）：119-120.
[5] 王烯冬，董宝珠，郑建华，等.肝切除联合纤维胆道镜治疗肝胆管结石34例[J].河北医学，2012，18（1）：64-66.
[6] 王峰，宗光全，刘绪舜，等.肝切除联合纤维胆道镜治疗肝硬化合并肝胆管结石[J].肝胆胰外科杂志，2011，23（1）：24-25.
[7] 王丽娟，卢谷萍，王小园.预见性护理在肝胆管结石合并胆管癌术后康复中的应用[J].现代医药卫生，2015，31（24）：3790-3791.
[8] 叶宇，张清华，潘万能，等.肝硬化门静脉高压症行断流术后早期抗凝治疗的意义[J].中国基层医药，2011，22（8）：3110-3111.
[9] 蒲成容，季巧，张静梅，等.肝胆管结石合并门脉高压围手术期快速康复护理[J].现代临床医学，2013，39（6）：123-124.
[10] Kow AW，Wang B，Wong D. Using percutaneous transhepatic cholangioscopic lithotripsy for intrahepatic calculus in hostile abdomen [J]. J Royal Colleges Surgeons Edinburgh Ireland，2012，34（3）：3409-3410.
[11] Uchiyama K，Onishi H，Tam M. Indication and procedure for treatment of hepatolithiasis [J]. Arch Surg，2011，13（10）：387-388.
[12] 付高洁，姜波，张红梅，等.综合护理模式对肝胆管结石肝切除术后双套管冲洗引流的影响[J].中国现代医生，2016，54（20）：148-150.
[13] 王丽媛，李春梅.肝胆管结石手术患者的护理[J].解放军护理杂志，2010，27（11）：841-842.
[14] 陈君武，李德方，付良彬，等.肝内胆管结石合并急性胆管炎外科治疗（附38例分析）[J].浙江创伤外科，2013， 18（4）：521-522.
[15] 程玉，罗云藩，廖锦岐，等.肝内胆管结石合并胆管癌38例临床分析 [J].临床外科杂志，2012，20（7）：473-475.
[16] 蒲成容，季巧，张静梅，等．快速康复外科护理在肝切除围手术期的应用[J].现代临床医学，2012，38（5）：375 －377．
[17] Rojas OS， Arizpe BD， Marin LER，et al. T ranscystic common bile duct exploration in the management of patients with choledocholithiasis [J]. J Gastrointest Surg，2013， 7（4）：492-496.
[18] 何军明，刁竟芳，谭志健.肝切除联合纤维胆道镜治疗复杂肝胆管结石40例[J].实用医学，2010，26（14）：2607-2608.
[19] 李莉，刘志苏.肝胆管结石合并门脉高压症的外科治疗进展[J].西部医学，2011，4（4）：780-781.
[20] 鲍恩武，龚仁华，孙登群，等．快通康复外科理念在胆总管探查围手术期应用[J].肝胆外科杂志，2012，20（4）：259-261． |
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