Discussion on Perioperative Nursing Intervention Effect of Laparoscopic Cholecystectomy Based on the Concept of Rapid Rehabilitation Surgery of Traditional Chinese Medicine
SHEN Li-dong,JIN Hui-ming,ZHU Xiao-ping
Department of Hepatology, Jiaxing Traditional Chinese Medicine Affiliated Hospital of Zhejiang Chinese Medicine University, Jiaxing 314000, China
Abstract:
Objective Analysis and evaluation of perioperative nursing intervention effect of laparoscopic cholecystectomy (LC) based on the concept of rapid rehabilitation surgery of traditional Chinese medicine.Methods 120 patients with LC who were admitted to our hospital from July 2018 to June 2019 were randomly divided into three groups. 114 patients were completed, including 37 patients in the observation group (based on the rapid rehabilitation surgery of traditional Chinese medicine) and the control group. One group of 38 cases(traditional routine care), the control group of 2 groups of 39 cases (rapid rehabilitation surgery). The thirst of the three groups before surgery, the time of first time to get out of bed after surgery, the first exhaust time after surgery, the number of postoperative hospital stays and postoperative complications were compared.Meanwhile,the 1st day before surgery and the CRP and IL-6 levels of the 2nd day after surgery were also checked and compared. Results The preoperative total thirst rate was 10.81% in the observation group and 7.69% in the control group 2, which was lower than 31.58% of the control group 1. The first exhaust time (23.32±7.47) hand the postoperative hospital stay (2.31±1.03) d in the observation groupwere less than those of the control group 1 (31.95±10.38) h, (3.71±1.93) d and the control group 2 (27.21±8.56) h, (2.86±1.26)d.The first time to get out of bed to observe the group of patients (6.52±1.24) h, control group 2(6.87±1.91) h were earlier than the control group 1 (11.65±5.78) h. The postoperative observation group had CRP (19.21±7.76) mg/L and IL-6 (11.39±2.76) pg/mL, which were lower than those of the control group 1 (28.36±11.35) mg/L, (15.49±5.77) pg/mL, and control group 2 (23.12±8.35) mg/L, (13.01±3.98) pg/ mL. There were no significant differences in postoperative complications between postoperative bile leakage, subcutaneous hemorrhage or infection and abdominal infection in the three groups (P>0.05). Conclusion The perioperative nursing intervention of laparoscopic cholecystectomy based on the concept of rapid rehabilitation surgery of traditional Chinese medicine has improved the perioperative comfort of patients and accelerated postoperative recovery, which has certain application value.
