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目的探讨国际医疗卫生机构认证联合委员会(JCI)标准联合快速康复外科护理对肝包虫病患者术后感染的影响。方法选取2016年12月~2017年3月新疆医科大学第一附属医院收治的60例接受手术治疗的肝囊型包虫病患者,按随机数字表法分为JCI标准+快速康复组与JCI标准组,每组各30例。JCI标准组按JCI标准给予相应护理,JCI标准+快速康复组在JCI标准护理基础上给予快速康复外科护理,比较两组患者术后3、7、10 d的切口感染、呼吸道感染及泌尿系感染情况及患者满意度。结果 JCI标准+快速康复组患者术后3、7、10 d切口感染率,呼吸道感染率、泌尿系感染率均低于JCI标准组(P<0.05),满意度高于JCI标准组(P<0.05)。结论肝囊型包虫病患者给予JCI标准联合快速康复外科护理,可有效降低术后感染发生率,减轻患者痛苦。
Objective To investigate the impact of JCI standard combined with rapid rehabilitation and surgical nursing on postoperative infection in patients with hepatic hydatid disease. Methods Sixty patients with hepatic cystic echinococcosis underwent surgical treatment from December 2016 to March 2017 in the First Affiliated Hospital of Xinjiang Medical University. According to the random number table, they were divided into JCI standard + rapid rehabilitation group and JCI standard Group, 30 cases in each group. The JCI standard group was given corresponding care according to the JCI standard. The JCI standard + rapid rehabilitation group was given rapid rehabilitation surgical care on the basis of JCI standard care. The incision, respiratory and urinary tract infections at 3, 7 and 10 days after operation were compared between the two groups Situation and patient satisfaction. Results The rates of incision infection, respiratory tract infection and urinary tract infection were lower in JCI standard + rapid rehabilitation group than those in JCI standard group (P <0.05) and higher in JCI standard + rapid rehabilitation group than those in JCI standard group (P < 0.05). Conclusions Patients with cystic echinococcosis given JCI standard combined with rapid rehabilitation of surgical care, can effectively reduce the incidence of postoperative infection and reduce patient suffering.