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目的:探讨中西医结合集束化护理对老年胆囊切除术的护理效果。方法:选取120例行胆囊切除术的老年患者为研究对象,采用随机数字表法分为对照组和观察组,各60例。对照组予常规护理,观察组予中西医结合集束化护理。观察两组术后疼痛情况、并发症及护理满意度。结果:两组术后Prince-Henry评分均呈下降趋势,组内不同时间段间比较,差异有统计学意义(P<0.05);观察组术后12 h、24 h、48 h Prince-Henry评分均低于对照组(P<0.01)。老年胆囊切除术后并发症以胆漏、胆囊残株炎、切口感染、皮下气肿为主。切口感染率对照组为6.7%,观察组为0;并发症总发生率对照组为20.0%,观察组为6.7%,组间比较,差异均有统计学意义(P<0.05)。总满意率对照组为75.0%,观察组为93.3%,组间比较,差异有统计学意义(P<0.05)。结论:中西医结合集束化护理对老年胆囊切除术患者止痛效果显著,能有效降低术后并发症,提高护理满意度。
Objective: To explore the nursing effect of integrated Chinese and western medicine on senile cholecystectomy. Methods: A total of 120 elderly patients undergoing cholecystectomy were divided into control group and observation group using random number table method, 60 cases in each group. The control group was given routine nursing, and the observation group was given intensive care combined with traditional Chinese and western medicine. Postoperative pain, complications and nursing satisfaction were observed. Results: The Prince-Henry score of the two groups showed a decreasing trend, and the difference was statistically significant (P <0.05) at different time points in the two groups. The Prince-Henry score at 12 h, 24 h and 48 h after operation in the observation group Were lower than the control group (P <0.01). Complications after cholecystectomy in elderly patients with bile leakage, residual gallbladder inflammation, incision infection, subcutaneous emphysema. The incision infection rate was 6.7% in the control group and 0 in the observation group. The overall complication rate was 20.0% in the control group and 6.7% in the observation group. The differences between the two groups were statistically significant (P <0.05). The total satisfaction rate was 75.0% in the control group and 93.3% in the observation group. There was significant difference between the two groups (P <0.05). Conclusion: The combination of TCM and WM combined with intensive care has significant analgesic effect on elderly patients with cholecystectomy, which can effectively reduce postoperative complications and improve nursing satisfaction.