基于快速康复外科理念的护理干预在脑胶质瘤切除术患者围术期的应用  

Application of Nursing Intervention Based on the Concept of Fast Track Surgery in the Perioperative Period of Patients with Glioma Resection

作　　者：张静[1] 马漫 王勇[1] ZHANG Jing;MA Man;WANG Yong(Department of Anesthesia and Perioperative Medicine,He'nan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院麻醉围手术医学科,河南郑州450003

出　　处：《临床医学工程》2022年第4期521-522,共2页Clinical Medicine & Engineering

基　　金：河南省自然科学基金项目(162300410241)。

摘　　要：目的探讨基于快速康复外科(FTS)理念的护理干预在脑胶质瘤切除术患者围术期的应用效果。方法106例脑胶质瘤切除术患者随机分为两组各53例,对照组采用常规护理干预,试验组在对照组基础上采用基于FTS理念的护理干预,比较两组的围术期指标、术后疼痛程度及并发症发生率。结果试验组的术后首次下床活动时间、术后首次进食时间、引流管拔除时间及住院时间均短于对照组,术后12 h、24 h的VAS评分均低于对照组,并发症发生率低于对照组(P<0.05)。结论基于FTS理念的护理干预应用于脑胶质瘤切除术患者围术期中,可有效降低并发症发生率,减轻术后疼痛程度。Objective To explore the application effect of nursing intervention based on the concept of fast track surgery(FST)in the perioperative period of patients with glioma resection.Methods 106 patients with glioma resection were randomly divided into two groups,with 53 cases in each group.The control group received routine nursing intervention,while the experimental group received nursing intervention based on FST concept on the basis of the control group.The perioperative indicators,postoperative pain degree and incidence of complications were compared between the two groups.Results The postoperative first out-of-bed activity time,postoperative first eating time,drainage tube removal time and hospitalization time in the experimental group were shorter than those in the control group,the VAS scores at 12 h and 24 h after surgery were lower than those in the control group,and the incidence of complications was lower than that in the control group(P<0.05).Conclusions Nursing intervention based on FTS concept applied in the perioperative period of patients with glioma resection can effectively reduce the incidence of complications,and reduce postoperative pain degree.

关 键 词：脑胶质瘤切除术 快速康复外科理念 疼痛程度 并发症 

分 类 号：R473.73[医药卫生—护理学]