快速康复外科理念在腹腔镜胆囊切除术围手术期中的应用价值  

The application value of the concept of rapid rehabilitation surgery in the perioperative period of laparoscopic cholecystectomy

作　　者：游锦华[1] 曾剑文 廖锦岐[1] 袁波[1] 段进东[1] 廖方[1] 邱金伦 You Jinhua;Zeng Jianwen;Liao Jinqi;Yuan Bo;Duan Jindong;Liao Fang;Qiu Jinlun(Department of Hepatological Surgery,First People's Hospital of Huizhou City,Guangdong Huizhou 516003)

机构地区：[1]惠州市第一人民医院肝胆外科,广东惠州516003

出　　处：《中国社区医师》2021年第31期163-164,共2页Chinese Community Doctors

摘　　要：目的:探讨快速康复外科(FTS)理念在腹腔镜胆囊切除术(LC)围手术期中的应用价值。方法:2015年10月-2019年10月收治LC患者456例,随机分为两组,各228例。对照组围手术期使用常规护理;研究组围手术期使用FTS理念护理。比较两组护理效果。结果:研究组手术时间、下地活动时间、住院时间及术后VAS评分均低于对照组,差异有统计学意义(P<0.05);研究组术后白介素6及C反应蛋白水平均低于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:FTS理念应用于LC围手术期中,能够促进患者恢复,降低炎性因子水平,减少不良反应的发生,具有较高的应用价值。Objective:To explore the value of rapid rehabilitation surgery(FTS)in perioperative laparoscopic cholecystectomy(LC).Methods:From October 2015 to October 2019,456 patients with LC were selected and randomly divided into two groups with 228 cases in each group.The control group used conventional nursing during perioperative period.The study group used FTS concept nursing during perioperative period.The nursing effect between the two groups was compared.Results:The operation time,ground activity time,hospital stay and postoperative VAS score of the study group were lower than the control group,the differences were statistically significant(P<0.05).The levels of interleukin-6 and C-reactive protein in the study group were lower than the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:The FTS concept applied in the perioperative period of LC can promote the recovery of patients,reduce the stress response and reduce the occurrence of adverse reactions,and has a high application value.

关 键 词：快速康复外科理念 腹腔镜胆囊切除术 围手术期 并发症 

分 类 号：R473.6[医药卫生—护理学]