视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究

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1、授予单位代码10089学号或申请号13206HebeiMedicalUniversity硕士学位论文在职科学学位视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究学位申请人：许志娟导师：何文英主任护师专业：护理学二级学院：第二医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下,由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归

2、河北医科，有。否则,承担相应法律责任。:•.iir»•研究生签名：对乙鴿导师签章二级学院领导_章：yr年:'>河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写,文责自负。研究生签名：An导师签章：巧从襄•W啤i月I日目录中文摘要·············································································1英文摘要········

3、·····································································5研究论文视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究前言·············································································6材料与方法····································································7结果····························

4、·················································9附图·············································································10附表·············································································13讨论·········································································

5、····14结论·············································································20参考文献·······································································21综述快速康复外科在腹部手术围手术期护理中的应用·················23致谢···············································································

6、····32个人简历·············································································33中文摘要视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能的研究摘要目的：快速康复外科理念自2001年由Kehlet倡导以来逐渐受到临床工作者的重视，术前不常规留置胃管尿管、术后早期进食，是其中非常重要的一项步骤。但这项措施的安全性仍有争论。本文通过对腹腔镜胆囊切除术患者实施不同的护理及饮食指导,观察视嗅觉刺激联合早期进食对腹腔镜胆囊切除术患者胃肠功能恢复的影响，探讨腹腔镜胆囊切除术不常规留

7、置胃管尿管及早期进食的安全性与可行性，旨在提高腹腔镜胆囊切除术患者舒适度，促进其胃肠功能恢复，深入推广快速康复外科护理理念。方法：以2014年3月到2014年12月期间，就诊于河北医科大学第二医院肝胆外科，符合腹腔镜胆囊切除手术指征且自愿参加本研究的患者111例作为研究对象。按照随机数字表进行随机分组，将111例患者分为三组即对照组36例，实验B组37例,实验A组38例。对照组：按常规模式术前放置胃管尿管，于肛门排气后拔除胃管后进食低脂流食,并渐过渡至低脂半流质、普通饮食;实验B组：术前不常规放置胃管尿管于麻醉清醒后即给予温水50ml口服,如患者无不