加速康复外科理念在老年患者腹腔镜上消化道穿孔修补术中的应用效果  

Application effect of the fast track surgery concept in laparoscopic repair of upper gastrointestinal perforation in elderly patients

作　　者：张臣 ZHANG Chen(Ninth People's Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市第九人民医院,河南郑州450000

出　　处：《临床医学研究与实践》2020年第8期175-176,共2页Clinical Research and Practice

摘　　要：目的探讨加速康复外科(FTS)理念在老年患者腹腔镜上消化道穿孔修补术中的应用效果。方法选取于我院行腹腔镜上消化道穿孔修补术的70例老年患者为研究对象,根据手术顺序将其分为对照组(35例,基于FTS护理)和观察组(35例,传统护理)。比较两组患者住院相关指标、围术期并发症发生情况及护理满意度。结果观察组患者恢复进食时间、下床时间、住院时间均短于对照组(P<0.05)。观察组围术期并发症总发生率明显低于对照组(P<0.05)。观察组的护理满意度显著高于对照组(P<0.05)。结论FTS理念在老年患者腹腔镜上消化道穿孔修补术中的应用效果显著,可促进患者胃肠功能恢复,从而有利于疾病康复。Objective To explore the application effect of the fast track surgery(FTS)concept in laparoscopic repair of upper gastrointestinal perforation in elderly patients.Methods A total of 70 elderly patients who underwent laparoscopic repair of upper gastrointestinal perforation in our hospital were selected as the research objects and divided into control group(35 cases,nursing based on FTS)and observation group(35 cases,traditional nursing)according to the operation sequence.The inhospital related indexes,perioperative complications and nursing satisfaction were compared between the two groups.Results The recovery time of eating,getting out of bed and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The total incidence of perioperative complications in the observation group was significantly lower than that in the control group(P<0.05).The nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion FTS concept in laparoscopic repair of upper gastrointestinal perforation in elderly patients has a significant application effect,which can promote the recovery of gastrointestinal function,so as to facilitate the recovery of disease.

关 键 词：加速康复外科 腹腔镜 上消化道穿孔修补术 

分 类 号：R735.2[医药卫生—肿瘤]