手术室护理路径对腹腔镜手术护理效果及对患者应激反应的影响

Effect of Nursing Path in Operating Room on Nursing Effect of Laparoscopic Surgery and Stress Response of Patients

摘要: 目的：探讨手术室护理路径对腹腔镜手术的护理效果和对患者应激反应的影响。方法：抽取本院2016年9月~2018年10月收治的接受腹腔镜手术的患者150例，以Excel随机函数法分为参照组和路径组各75例，参照组手术室常规护理，路径组在上述基础上应用手术室护理路径，观察两组患者护理效果和应激反应。结果：路径组术后镇痛药使用例数、术后首次肛门排气时间、住院时间均低于参照组；建立气腹后10 min、术后30 min路径组HR、MAP、E、NE均低于参照组；术后路径组SAS、SDS评分均低于参照组；路径组并发症发生率低于参照组，P < 0.05。结论：手术室护理路径能缓解腹腔镜手术患者应激反应，控制术后并发症风险，值得临床应用。

Abstract: Objective: To explore the effect of operating room nursing pathway on the nursing effect of lapa-roscopic surgery and the stress response of patients. Methods: 150 patients who received lapa-roscopic surgery in our hospital from September 2016 to October 2018 were selected. The patients were divided into a reference group and a path group by Excel random function method, with 75 cases in each. Results: The number of postoperative analgesics, postoperative first anal exhaust time and hospitalization time in the route group were all lower than those in the reference group. The HR, MAP, E and NE of the route group were all lower than those of the reference group at 10 min after pneumoperitoneum and 30 min after surgery. The SAS and SDS scores in the postoperative pathway group were lower than those in the reference group. The incidence of complications in the pathway group was lower than that in the control group, P < 0.05. Conclusion: Operating room nursing path can alleviate the stress response of patients undergoing laparoscopic surgery and control the risk of postoperative complications, which is worthy of clinical application.