快速康复外科理念在钬激光碎石术中的应用  

Application of the fast-track surgery concept in holmium laser lithotripsy

作　　者：曹娟[1] 李喆雯[1] 

机构地区：[1]武汉市中心医院,湖北武汉430014

出　　处：《齐鲁护理杂志》2014年第8期12-13,共2页Journal of Qilu Nursing

摘　　要：目的:探讨快速康复外科理念(FTS)对钬激光碎石术治疗效果的影响。方法:按手术方式,将80例钬激光碎石术患者分为对照组和干预组各40例。对照组采用传统的开腹手术方式,干预组对钬激光输尿管镜碎石术进行快速康复外科理念干预,观察两组患者的手术时间、住院天数、首次排气时间、患者满意度及并发症发生等指标,并进行比较。结果:干预组与对照组比较,手术时间、住院天数、首次排气时间明显缩短,并发症发生例数明显减少,两组比较差异均有统计学意义(P<0.01,P<0.05)。结论:快速康复外科理念是一种适合输尿管结石患者的治疗模式,能缓解手术应激,减少并发症,加速患者术后康复,提高患者的远期生存质量。Objective：To explore the influence of the fast -track surgery concept on the therapeutic effect of holmium laser lithotripsy . Methods：80 patients were divided into the intervention group and the control group （40 cases in each group）.The patients in the control group received conventional open surgery and the patients in the intervention group were treated with holmium laser lithotripsy and given intervention according to the fast -track surgery concept.The length of operation,hospitalization days,the first exhaust time,patient satis-faction and the incidence of complications of the patients were observed and compared between the two groups .Results：There were statisti-cally significant differences in the comparison of the length of operation ,hospitalization days ,the first exhaust time ,patient satisfaction and the incidence of complications of the patients between the two groups （P〈0.01,P〈0.05）.Conclusion：The fast track surgery is the suit-able mode in the treatment of patients with ureteral calculi .It can relieve stress response ,reduce the complications ,promote and improve recovery and long-term quality of life of the patients .

关 键 词：快速康复外科理念 输尿管结石 钬激光 

分 类 号：R473.6[医药卫生—护理学]