【摘要】 目的：探讨基于快速康复理念的个性化镇痛护理方案在肝胆外科术后重症患者中的应用效果。方法：选取2023年5月—2025年5月我院收治的80例肝胆外科术后重症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组40例。对照组采用常规护理，观察组在常规护理基础上实施基于快速康复理念的个性化镇痛护理方案。比较两组术后疼痛评分、住院时间、并发症发生率、炎症因子指标。结果：观察组术后24、48、72 h的疼痛评分均低于对照组，住院时间短于对照组（P<0.05）；观察组并发症发生率（5.00%）低于对照组（35.00%）(P<0.05)；术后24、48、72 h，观察组血清IL-6、CRP水平均低于对照组（P<0.05）。结论：基于快速康复理念的个性化镇痛护理方案可有效减轻肝胆外科术后重症患者的疼痛，缩短住院时间，减轻机体炎症反应，降低并发症发生率，值得在临床中应用。更多还原

【Abstract】 Objective: To explore the application effect of individualized analgesic nursing program based on the concept of rapid rehabilitation in severe patients after hepatobiliary surgery. Methods: A total of 80 severe patients after hepatobiliary surgery admitted to our hospital from May 2023 to May 2025 were selected as the research objects. According to the random number table method,they were divided into control group and observation group,with 40 patients in each group. The control group was given routine nursing,while the observation group was given individualized analgesia nursing program based on the concept of rapid rehabilitation on the basis of routine nursing. The postoperative pain score,hospitalization time,complication rate and inflammatory factor index were compared between the two groups. Results: The pain scores of the observation group at 24,48 and 72 h after surgery were lower than those of the control group,and the hospitalization time was shorter than that of the control group(P<0.05). The incidence of complications in the observation group(5.00%) was lower than that in the control group(35.00%)(P<0.05). At 24,48 and 72 h after surgery,the levels of serum IL-6 and CRP in the observation group were lower than those in the control group(P<0.05). Conclusion: The individualized analgesic nursing program based on the concept of rapid rehabilitation can effectively reduce the pain of severe patients after hepatobiliary surgery,shorten the length of hospital stay,reduce the body’s inflammatory response,and reduce the incidence of complications. It is worthy of clinical application.更多还原