快速康复外科理念在经腹腔镜下行前列腺癌根治术患者围术期护理中的应用效果  被引量:64

Application Effect of Fast-track Surgery Concept on Perioperative Nursing of Laparoscopic Radical Prostatectomy

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作  者:杨如美[1] 徐寅[1] 顾美珍[1] 陈洁[1] 

机构地区:[1]上海交通大学医学院附属瑞金医院卢湾分院泌尿外科,上海200020

出  处:《解放军护理杂志》2016年第22期46-48,共3页Nursing Journal of Chinese People's Liberation Army

摘  要:目的探讨快速康复外科(fast-track surgery,FTS)理念在经腹腔镜下行前列腺癌(prostate cancer,PCa)根治术患者围术期护理中的应用效果。方法回顾性分析2015年1-12月在瑞金医院卢湾分院因PCa而行腹腔镜下PCa根治术的患者120例的临床资料。按是否实施FTS护理将其分为FTS组和对照组,每组60例。FTS组患者在围术期实施FTS护理,而对照组患者实施传统护理,比较两组患者术后首次排气时间、住院时间、住院费用、拔除引流管时间和术后并发症的发生率等。结果 FTS组患者首次排气时间较对照组提前,术后住院天数明显缩短,住院费用显著降低,拔除引流管时间提前,总并发症发生率低,差异均有统计学意义(均P<0.05)。结论腹腔镜下行PCa根治术患者围术期实施FTS护理方案安全、有效,具有缩短住院时间、减少住院费用和降低术后并发症的优势,有利于患者手术后创伤应激的恢复。Objective To discuss the application effect of fast-track surgery (FTS) concept on perioperative nursing of laparoscopic prostate cancer (PCa) radical prostatectomy.Methods Clinical data of 120 cases were analyzed retrospectively.Patients were divided into FTS group and control group based on whether received FTS nursing or not, with 60 cases in each group. FTS group received FTS nursing during perioperative nursing, while the control group received traditional nursing. The first evacuation time, hospitalization time, medical cost, extubation time and incidence rate of postoperative complications were compared between two groups.Results The first time evacuation time in FTS group was earlier than control group,the hospitalization time was shorter,and the medical cost was reduced, and the overall incidence rate of complications was reduced (all P^0.05).Conclusions The application of FTS nursing plan in perioperative period is safe, effective, and with short hospitalization time, fewer medical cost and less complications, which is beneficial to the postoperative traumatic stress recovery.

关 键 词:快速康复外科 腹腔镜手术 前列腺癌 围术期 

分 类 号:R473.6[医药卫生—护理学]

 

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