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目的探讨高龄急性化脓性胆囊炎手术治疗的临床护理方法及效果,为临床治疗提供参考。方法 60例高龄急性化脓性胆囊炎患者,随机分为观察组和对照组,各30例。对照组患者采用常规护理方法 ,观察组患者采用综合护理方法。对比两组患者手术前1 d和麻醉前的心率、收缩压;两组患者手术后并发症发生率、护理满意度、手术后引流时间、住院时间。结果两组患者手术前1 d的心率、收缩压比较,差异无统计学意义(P>0.05);观察组麻醉前的心率、收缩压均优于对照组,差异具有统计学意义(P<0.05)。观察组患者的术后并发症发生率为3.33%、护理满意度为96.67%,均优于对照组的20.00%、76.67%,差异均具有统计学意义(P<0.05)。观察组患者的术后术后引流时间为(2.2±0.5)d、住院时间为(10.1±2.2)d,均短于对照组的(3.8±1.2)、(15.4±3.4)d,差异均具有统计学意义(P<0.05)。结论因为高龄急性化脓性胆囊炎患者的抵抗力和耐受力比较差,加之手术过程较为复杂,所以对其采用综合护理的方法有助于其心率水平、收缩压的改善,有助于预后,值得临床应用与推广。
Objective To investigate the clinical nursing methods and effects of surgical treatment for senile acute suppurative cholecystitis and to provide reference for clinical treatment. Methods Sixty elderly patients with acute suppurative cholecystitis were randomly divided into observation group (n = 30) and control group (n = 30). The control group of patients using conventional care methods, observation group patients with integrated care. The two groups of patients before surgery and 1 d before anesthesia, heart rate, systolic blood pressure; postoperative complications in two groups of patients with satisfaction, nursing satisfaction, postoperative drainage time, hospital stay. Results There was no significant difference in heart rate and systolic blood pressure between the two groups before operation (P> 0.05). The heart rate and systolic pressure in the observation group before anesthesia were better than those in the control group (P <0.05) ). The incidence of postoperative complications in the observation group was 3.33% and the satisfaction rate in nursing was 96.67%, which were all better than those in the control group (20.00%, 76.67%, P <0.05). The duration of postoperative drainage in observation group was (2.2 ± 0.5) days and hospital stay was (10.1 ± 2.2) days, both of which were shorter than those in control group (3.8 ± 1.2) and (15.4 ± 3.4) days, respectively Statistical significance (P <0.05). Conclusion Because of the poor resistance and tolerability of elderly patients with acute suppurative cholecystitis, combined with the complexity of the surgical process, so its comprehensive nursing approach will help to improve its heart rate, systolic blood pressure and contribute to the prognosis, Worthy of clinical application and promotion.