快速康复外科护理在腹主动脉瘤腔内隔绝术中的应用  

Application of Fast Track Surgery Nursing in Endovascular Exclusion of Abdominal Aortic Aneurysm

作　　者：王哲[1] 赵惠敏[1] 王丽威[1] 

机构地区：[1]吉林省四平市中心人民医院介入血管外科,吉林四平136000

出　　处：《中国继续医学教育》2017年第13期204-206,共3页China Continuing Medical Education

摘　　要：目的探讨快速康复外科(FTS)护理对腹主动脉瘤腔内隔绝术(EVAR)患者中各临床指标的影响。方法选取2012年2月—2015年10月收治的96例腹主动脉瘤患者作为研究对象,按照入院时间,将其分为对照组(常规护理)和实验组(FTS护理)。对两组患者进行术前术后焦虑抑郁、血压达标、下床活动和住院时间、术后1周并发症发生率的评定。结果两组患者术前焦虑抑郁评分对比,差异无统计学意义(P>0.05);术后6 h、24 h、出院时评分对比,差异具有统计学意义(P<0.05);两组血压达标时间、下床活动时间、住院时间、术后1周并发症发生率对比,差异均具有统计学意义(P<0.05)。结论应用FTS管理可降低EVAR术后患者焦虑抑郁情绪,提高患者术后康复速度,降低术后1周并发症发生率。Objective To investigate the fast track surgery（FTS） nursing of endovascular exclusion of abdominal aortic aneurysm（EVAR） effect of the clinical indexes of patients. Methods A total of 96 patients with abdominal aortic aneurysm from February 2012 to October 2015 were selected as the subjects. According to admission time, they were divided into control group（routine nursing） and experimental group（FTS nursing）. The anxiety, depression, blood pressure standard, ambulation and hospitalization time, and the complication rate of 1 weeks after operation were evaluated in two groups. Results There was no significant difference in anxiety and depression scores between the two groups（P〈0.05）. The scores of 6 h, 24 h and discharge after operation were statistically significant（P〉0.05）. Two groups of blood pressure standard time, ambulation time, hospitalization time, 1 weeks after operation complication rate contrast, the difference all has the statistical significance（P〈0.05）. Conclusion The application of FTS process management can reduce the endovascular exclusion of abdominal aortic aneurysm patients with anxiety and depression, improve the recovery rate of patients, reduce the postoperative complication rate was 1 week.

关 键 词：快速康复外科 腹主动脉瘤 腔内隔绝术 临床指标 

分 类 号：R473[医药卫生—护理学]