老年患者胃肠手术快速康复的外科护理  

Safety of fast-track gastrointestinal surgery in elderly patients

作　　者：何颖[1] 王艳荣[1] 党玲[1] 

机构地区：[1]宁夏医科大学护理学院,宁夏回族自治区银川市750004

出　　处：《世界华人消化杂志》2013年第24期2461-2465,共5页World Chinese Journal of Digestology

摘　　要：目的:研究快速康复外科应用于胃肠手术的个性化原则及安全性评估.方法:选择2009-01/2012-1于宁夏医科大学护理学院进行治疗的进行了胃肠手术患者360例.其中,采用快速康复外科对进行治疗的患者有180例,采用传统方式进行治疗的患者有180例,对比两组患者的并发症发生情况以及严重程度,并且对两组患者总体并发症发生率的差异进行统计.结果:研究发现,快速康复外科患者的一般并发症及总体并发症要低于对照组,两组并发症的发生率无显著差异.快速康复组患者的消化道瘘的发生率有逐年上升的趋势.并发症比较上,观察组一般并发症的发生例数为12例,发生率为6.67%,对照组一般并发症的发生率例数是24例,发生率为13.33%.其他并发症观察组发生率也显著低于对照组,两组比较差异具有统计学意义(P<0.05).结论:快速康复外科可以有效的降低患者胃肠手术后的并发症发生率,凡是若操作不当也会增加患者消化道瘘的发生率,因而,快速康复外科在临床中的应用要符合患者个体特性.AIM： To evaluate the safety of fast-track gastro- intestinal surgery in elderly patients and explore the principle of individualization. METHODS： Three hundred and sixty patients who underwent gastrointestinal surgery from January 2009 to January 2012 at our hospital were included in this study, of whom 180 re- ceived fast-track surgery and 180 underwent tra- ditional surgery. The incidence and severity of complications were compared between the two groups of patients. RESULTS： The incidences of individual compli- cations and overall complications were lower in the fast-track surgery group than in the control group, but the differences were not significant. The incidence of gastrointestinal fistula had a gradually increasing trend in the fast-track sur- gery group. The incidence of general complica- tions was significantly lower in the observation than in the control group （6.67% vs 13.33%, P 〈0.05）. The incidence of other complications was also significantly lower in the fast-track surgery group than in the control group （P 〈 0.05）. CONCLUSION： Fast-track surgery can effective- ly reduce the incidence of gastrointestinal com- plications; however, improper care may increase the incidence of gastrointestinal fistula.

关 键 词：快速康复外科 胃肠手术 安全性 个体化 

分 类 号：R473.6[医药卫生—护理学]