手术室快速康复外科护理在胃癌根治术中的应用观察  

Application of operation room fast track surgery nursing in radical gastrectomy for gastric cancer

作　　者：谢彩彤[1] 李少兰[1] 王岸冰[1] 谢丽叶[1] 张小丽[1] XIE Caitong;LI Shaolan;WANG Anbing;XIE Liye;ZHANG Xiaoli(Operation Room,Zhanjiang People＇s Central Hospital,Zhanjiang 524037,Chin)

机构地区：[1]广东省湛江中心人民医院手术室,广东湛江524037

出　　处：《中国医药科学》2018年第14期138-141,共4页China Medicine And Pharmacy

基　　金：广东省湛江市科技计划项目(2016B01211)

摘　　要：目的探讨手术室快速康复外科(FTS)护理在胃癌患者中的应用效果。方法将90例在2016年1月~2017年12月期间行胃癌根治术患者随机分为观察组和对照组。观察组采用FTS手术室护理,对照组采用传统护理。统计两组术后住院时间、住院费用、术后恢复情况和并发症;检测两组的C反应蛋白和血清蛋白的浓度;调查两组的满意度。结果观察组的尿管留置时间、术后下床时间、首次进食时间、肛门排气时间、肠外营养时间、术后住院时间和住院费用均明显少于对照组(P<0.05)。观察组的C反应蛋白浓度明显低于对照组(P<0.05)。观察组的血清蛋白浓度明显高于对照组(P<0.05)。观察组的咽痛、尿路感染、肺部感染、腹胀和寒战的发生率均明显低于对照组(P<0.05)。观察组的患者和家属满意度均明显高于对照组(P<0.05)。结论手术室FTS护理可加快术后康复,缩短住院时间,降低住院费用,减轻应激,提高术后营养,减少并发症和提高手术室护理满意度。Objective To investigate the application effect of operation room fast track surgery（FTS） nursing in patients with gastric cancer. Methods A total of 90 patients who underwent radical gastrectomy for gastric cancer treated in Zhanjiang People＇s Central Hospital from January 2016 to December 2017 were randomly divided into the observation group and the control group. The observation group was treated with operation room FTS nursing, and the control group was treated with traditional nursing methods. The postoperative hospitalization time, hospitalization expenses, postoperative recovery and complication of the two groups were statistically analyzed. The concentration of C reactive protein and serum protein of the two groups were detected. The satisfaction of the two groups was investigated. Results The indwelling time of urethral catheter, postoperative out of bed time, first feeding time, anal exhaust time, parenteral nutrition time, postoperative hospitalization time, cost of hospitalization in the observation group were significantly less than those of the control group（P 〈0.05）. The concentration of C reaction protein of the observation group was significantly lower than that of the control group（P 〈0.05）. The concentration of serum protein of the observation group was significantly higher than that in the control group（P 〈0.05）. The incidence of sore throat, urinary tract infection, pulmonary infection, abdominal distention and chills in the observation group were significantly lower than those of the control group（P 〈0.05）. The satisfaction of the patients and their families in the observation group were significantly higher than those of the control group（P 〈0.05）. Conclusion Operation room FTS nursing can accelerate postoperative rehabilitation, shorten the hospital stay, reduce hospital costs, lessen the degree of stress, improve the postoperative nutrition, reduce the incidence of complications and improve the satisfaction of nursing in operation room.

关 键 词：快速康复外科 胃癌 术后康复 应激 并发症 满意度 

分 类 号：R473.73[医药卫生—护理学]