Your browser doesn't support javascript.
loading
Construction and application of accelerated rehabilitation surgery scheme for kidney transplantation / 中国基层医药
Chinese Journal of Primary Medicine and Pharmacy ; (12): 2515-2520, 2020.
Article in Chinese | WPRIM | ID: wpr-866623
ABSTRACT

Objective:

To explore the construction and application in kidney-transplant recipients of accelerated rehabilitation surgery scheme.

Methods:

From February 2017 to January 2018, 49 kidney-transplant recipients who received routine preoperative management in the First Affiliated Hospital of Wenzhou Medical University were selected as regular group, while another 49 kidney-transplant recipients who received accelerated rehabilitation surgery scheme in our hospital from February 2018 to June 2019 were selected as observation group.The incidences of complications such as postoperative bleeding, infection of incisional wound and urinary tract, pulmonary infection, rejection reaction and urine leakage between the two groups were compared.The early rehabilitation progress such as preserved time of dwelling catheter, leaving bed time and first defecation time between the two groups were compared.The postoperative hospitalization time, hospitalization expense and the rate of readmission within 30 days were compared.

Results:

The incidence of complications of the observation group was 4.08%(2/49), which was significantly lower than that of the regular group[22.45%(11/49)](χ 2=7.184, P=0.007). The preserved time of dwelling catheter[(2.51±1.12)d], leaving bed time[(1.96±1.08 )d] and the first defecation time[(2.56±1.16)d] of the observation group were significantly better than those of the regular group[(4.96±1.40)d, (4.82±1.36)d and (4.84±1.38)d]( t=9.663, 11.650, 8.943, all P=0.000). The postoperative hospitalization time[(19.53±2.38)d] and hospitalization expense[(35.7±3.2)thousand CNY] of the observation group were significantly lower than those of the regular group[(26.49±3.42)d and (49.8±8.2)thousand CNY]( t=11.812, 11.327, all P=0.000). The readmission rate within 30 days of the observation group[2.04%(1/49)] was significantly lower than that of the regular group[18.37%(9/49)], the difference was statistically significant(χ 2=7.127, P=0.008).

Conclusion:

The construction and effective application of accelerated rehabilitation surgery scheme in kidney-transplant recipients can reduce the incidence of complication in recipients after transplantation, accelerate their rehabilitation in early stage, shorten the hospitalization time, reduce the hospitalization expense and lower the readmission rate after 30 days.
Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Primary Medicine and Pharmacy Year: 2020 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Primary Medicine and Pharmacy Year: 2020 Type: Article