快速康复外科理念在达芬奇机器人肺癌切除术围术期护理中的应用  

Application of fast track surgery in the perioperative nursing of lung cancer patients after pulmonary lobectomy by Da Vinci robot

作　　者：靳海荣[1] 郑佳美 高赛[1] JIN Hairong;ZHENG Jiamei;GAO Sai(Department of Thoracic Surgery,General Hospital of Chinese People＇s Liberation Army,Beijing,100853)

机构地区：[1]解放军总医院胸外科,北京100853

出　　处：《实用临床医药杂志》2018年第12期69-71,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨快速康复外科理念(FTS)在达芬奇机器人肺癌切除术围术期护理中应用效果。方法将75例经病理证实为肺癌,行肺叶切除的患者随机分为实验组及对照组。实验组实施快速康复外科理念,对照组使用常规护理,比较2组患者胸管留置时间、排气时间、抗生素使用时间、下床活动时间、住院时间及术后肺部持续漏气、低氧血症、肺部感染、肺不张、心律失常及乳糜胸等并发症发生情况。结果采用FTS护理的患者术后恢复指标均好于对照组的患者,术后并发症发生率也少于对照组患者。结论快速康复外科理念对于肺癌切除患者有显著的效果,能显著降低患者的并发症发生率,并促进患者术后恢复。Objective To explore the effect of fast track surgery concept（ FTS） in the perioperative nursing of lung cancer after surgery by Da Vinci robot. Methods A total of 75 hospitalized patients diagnosed as lung cancer,underwent pulmonary lobectomy in our hospital were randomly divided into experimental group and control group. Patients in the experimental group were carried out rapid track surgery,while those in the control group were given routine nursing. Chest tube indwelling time,time to first exhaust,antibiotic use time,time of off-bed ambulance,hospitalization time,postoperative persistent pulmonary leakage,hypoxemia,pulmonary infection,atelectasis,arrhythmia and chylothorax were compared between the two groups. Results The recovery indicators of patients given FTS were better,while the incidence rate of complications was lower than that of the control group. Conclusion The concept of rapid rehabilitation surgery has a significant effect for patients with lung cancer resection,and it can significantly reduce the incidence of complications,and promote patients＇ postoperative recovery.

关 键 词：快速康复外科理念 肺癌 围术期护理 并发症 术后恢复 

分 类 号：R473.6[医药卫生—护理学]