食管裂孔疝围手术期加速康复护理体会

doi:10.3877/cma.j.issn.2095-8765.2019.03.014

中华胃食管反流病电子杂志 ›› 2019, Vol. 06 ›› Issue (03) : 173 -176. doi: 10.3877/cma.j.issn.2095-8765.2019.03.014

所属专题：文献；

护理园地

食管裂孔疝围手术期加速康复护理体会

于洪燕¹, 马宁¹, 周太成¹^,^†(

), 陈双¹

^1. 510655　广州，中山大学附属第六医院胃肠、疝和腹壁外科；广东省结直肠盆底疾病研究重点实验室

收稿日期:2019-04-16 出版日期:2019-08-15
通信作者: 周太成

Perioperative Nursing experience of enhanced recovery after surgery in hiatal hernia

Hongyan Yu¹, Ning Ma¹, Taicheng Zhou¹^,^†(), Shuang. Chen¹

^1. Department of Gastroenterological Surgery and Hernia Center, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou 510655, China

Received:2019-04-16 Published:2019-08-15
Corresponding author: Taicheng Zhou
About author:
Corresponding author: Zhou Taicheng, Email: zhoutaicheng@126.com

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目的

食管裂孔疝的加速康复护理围手术期的护理措施的优化。

方法

回顾分析在接受腹腔镜下食管裂孔疝修补+胃底折叠术治疗的食管裂孔疝的32例患者围手术期的系统性护理措施，总结食管裂孔疝围手术期的快速康复护理要点。

结果

32例患者均顺利完成手术，术后胃管留置（22.4±3.5）h、腹腔引流管（30.2±4.6）h、1例出现气胸的胸腔闭式引流69 h；恢复排气时间（21.3±2.4）h、排便时间（37.6±3.2）h、进食时间为（23.5±2.6）h；并发症发生率方面出现吞咽困难2例、气胸1例。

结论

围手术期的优化护理措施，一定程度上加快了食管裂孔疝患者术后康复。

关键词: 食管裂孔疝, 加速康复外科, 护理

Objective

To provide more nursing experience for enhanced recovery after surgery as well as optimization of nursing measures during perioperative period in hiatal hernia patients.

Methods

The systematic nursing measures in 32 patients undergoing hiatal hernia in our hospital during perioperative period were retrospectively analyzed, and the main points of nhanced recovery after surgery in nursing during perioperative period of hiatal hernia were summarized.

Results

All 32 patients successfully received the operation, postoperative gastric tube retention for 22.4±3.5 hours, peritoneal drainage tube for 30.2±4.6 hours, a case of pneumothorax in the thoracic closed drainage for 69 hours, recovery exhaust time was 21.3±2.4 hours, defecation time was (37.6±3.2) hours and feeding time was 23.5±2.6 hours; There were complicated with 2 cases of dysphagia and 1 cases of pneumothorax.

Conclusion

The optimal nursing measures in perioperative period of our department have accelerated the postoperative rehabilitation of patients with hiatal hernia to a certain extent.

Key words: Hiatal hernia, Enhanced Recovery After Surgery, Nursing

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