快速康复外科在部分肝切除围手术期护理中应用效果的系统评价  

Systematic review on application effect of fast track surgery on perioperative nursing for partial hepatectomy

作　　者：李娜[1] 王静[1] 唐丽春[1] 马晓敏 王瑞 Li Na;Wang Jing;Tang Lichun;Ma Xiaomin;Wang Rui(Shanghai Yanpu District Central Hospital,Shanghai 200090,China)

机构地区：[1]上海市杨浦区中心医院

出　　处：《护理与康复》2019年第10期7-11,17,共6页Journal of Nursing and Rehabilitation

摘　　要：目的通过系统评价明确快速康复外科应用于部分肝切除围术期护理的安全性和可行性。方法计算机检索多个中英文数据库,获取已公开发表的有关快速康复外科护理与肝切除围术期的随机对照研究。筛选出符合纳入、排除标准的文献,并进行文献质量评价。采用RevMan5.0软件进行Meta分析。结果6篇文献累计样本量754例,其中传统组386例、快速康复外科组368例,经Meta分析,快速康复外科能明显缩短肝脏部分切除术后首次排气时间,MD=-20.92,95%CI为(-35.36,-6.48),P=0.005;减少住院时间,MD=-2.15,95%CI为(-3.88,-0.43),P=0.01;明显降低住院费用,MD=-0.80,95%CI为(-1.11,-0.50),P<0.00001;降低并发症发生率,MD=0.59,95%CI为(0.38,0.94),P=0.03。结论与传统外科围手术期护理措施相比,快速康复外科能加速肝脏部分切除术后康复。Objective To evaluate the safety and feasibility of fast track surgery applied on perioperative nursing for partial hepatectomy by systematic review.Method Search articles in several Chinese and English databases by computer.Collect published randomized controlled trials on fast track surgery and perioperative nursing for partial hepatectomy.Select articles accord with inclusion and exclusion criteria and evaluate literature quality.Make Meta analysis by RevMan 5.0.Result There are totally 754 cases in 6 articles,in which 386 are routine cases and 368 are fast track surgery cases.Meta analysis shows that fast track surgery can obviously shorten the interval of first exhaust after partial hepatectomyin,MD=-20.92,95%CI(-35.36,-6.48),P=0.005;shorten hospitalization time,MD=-2.15,95%CI(-3.88,-0.43),P=0.01;reduce hospitalization cost,MD=-0.80,95%CI(-1.11,-0.50),P<0.00001;reduce incidence of complications,MD=0.59,95%CI(0.38,0.94),P=0.03.Conclusion Fast track surgery can accelerate rehabilitation after partial hepatectomy compared to traditional perioperative nursing.

关 键 词：快速康复外科 肝切除 护理 系统评价 

分 类 号：R473.6[医药卫生—护理学]