快速康复外科护理在肝切除围手术期的应用  

Application of Nursing of Fast Recovering in Perioperative Period of Hepatectomy

作　　者：蒲成容[1] 季巧[1] 张静梅[1] 张世巧[1] 张光全[1] 郭洪莉[1] 魏雪平[1] 胡强[1] 吕建勇[1] 莫玲梅[1] 李华琼[1] 熊良英[1] 彭洁[1] 杨雅赧[1] 

机构地区：[1]成都市第六人民医院,四川成都610051

出　　处：《现代临床医学》2012年第5期375-377,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨快速康复外科(FTS)护理学理念在肝胆管结石病肝切除围手术期应用的安全性和有效性。方法:60例患者随机平分为FTS组和对照组,对照组采用常规围手术期护理方法,FTS组采用FTS护理学理念指导下的优化围手术期护理流程。分析比较2组术后第1天、第3天、第5天WBC和血清白蛋白变化情况,术后下床活动时间、进食时间、排气时间、住院天数及并发症差异。结果:与对照组比较,FTS组术后应激水平显著降低,下床活动、进食及排气时间提前,住院时间缩短(P<0.01),2组并发症无统计学差异(P>0.05)。结论:FTS护理学理念及流程应用于肝胆管结石病肝切除围手术期是安全和有效的,可加快患者的康复速度。Objective：To investigate the safety and effectiveness of fast nursing concept in perioperative period of hepatectomy of intrahepatic lithiasis.Methods：Sixty patients were randomly designated into observation group（using FTS in perioperative period） and control group（using traditional protocol in perioperative period）.The parameters included levels at WBC and serum albumin at 1th d and 3th d and 5th d after operation;the time of ambulation,food intake,flatus passed,hospital stays,and incidence of complications were studied.Results：Compared with the control group,FTS management decreased the postoperative stress,reduced the time of early ambulation,food intake,flatus passed,hospital stays（P0.01）,but complications of the twe groups showed no difference（P0.05）.Conc1usion：Application of FTS in perioperative management of patients with hepatectomy is safe and effective,and can accelerate the recovery of patients with hepatectomy.

关 键 词：肝胆管结石病 快速康复外科 护理学 肝切除术 围手术期 

分 类 号：R473.6[医药卫生—护理学]