快速康复外科理念在膀胱癌根治性全膀胱切除术病人围术期护理中的应用  

Application of fast track surgery in perioperative nursing care of patients with radical cystectomy for bladder cancer

作　　者：何玮[1] 王蒙[1] 王志华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院

出　　处：《护理研究（中旬版）》2017年第4期1325-1328,共4页Chinese Nursing Researsh

摘　　要：[目的]探索快速康复外科理念在膀胱癌根治性全膀胱切除术病人围术期中的应用效果。[方法]选取31例行膀胱癌根治性全膀胱切除术的病人随机分为快速康复组和对照组,快速康复组试行围术期快速康复护理措施,对照组实施常规护理措施,比较两组病人术后肛门首次排气时间,首次排便时间,术后住院时间、术后肠梗阻、腹胀等并发症发生率及30d再入院率。[结果]快速康复组病人首次排气时间、术后住院时间为1.77d±0.71d,12.00d±3.77d,对照组组病人首次排气时间、术后住院时间为2.67d±1.12d,18.00d±9.80d,两组比较差异有统计学意义(P<0.05);快速康复组病人术后恶心呕吐发生率为0%,对照组病人发生率为26%,两组比较差异有统计学意义(P<0.05)。[结论]快速康复外科理念在膀胱癌根治性全膀胱切除术病人围术期护理中的应用可促进胃肠功能恢复,缩短住院时间,且不增加肠梗阻等并发症的发生率。Objective：To probe into the application of fast track surgery in perioperative nursing care of patients with radical cystectomy for bladder cancer.Methods：A total of 31 patients who underwent radical cystectomy for bladder cancer were randomly divided into two groups：fast recovery group and control group.The fast recovery group was given perioperative nursing measures,while the control group was given routine nursing measures.Then compared the two groups of patients with postoperative anal first exhaust time,first defecation time,postoperative hospitalization time,postoperative ileus and abdominal distension and other complications and readmission rate 30 d.Results：The first exhaust time,and postoperative hospital time of the fast recovery group were 1.77d±0.71 d,12.00d±3.77 d.Patients in the control group,first exhaust time,postoperative hospitalization time were 2.67d±1.12 d,18.00d±9.80 d,the difference between the two groups was statistically significant（P〈0.05）.The incidence of postoperative nausea and vomiting was 0%in the fast recovery group,and the incidence rate of the control group was 26%,the difference between the two groups was statistically significant（P〈0.05）.Conclusions：The application of fast track surgery in prerioperative nursing care of patients with radical cystectomy for bladder cancer could promote the recovery of gastrointestinal function in patients with bladder cancer,shorten the hospitalization time,and do not increase the incidence of intestinal obstruction and other complications.

关 键 词：膀胱癌 根治性全膀胱切除术 围术期 快速康复外科理念 健康教育 肠梗阻 并发症 再住院 

分 类 号：R473.6[医药卫生—护理学]