加速康复外科理念在动脉灌注化疗患者护理中的应用

Concept of fast track surgery applied to the nursing of the patients undergoing artery intervention chemotherapy

目的针对动脉灌注化疗患者围治疗期出现的禁食时间长、恶心、呕吐、肢体制动时间长等并发症,引入加速康复外科(fast track surgery,FTS)理念护理动脉灌注化疗患者,降低患者围治疗期的应激水平,减轻不适,从而达到加速康复。观察此护理方案临床应用的有效性、安全性及其优势。方法将105例行动脉灌注化疗的恶性肿瘤患者随机分成2组,使用FTS方案的42例患者为加速康复组;使用常规围治疗期方案的63例患者为常规对照组(对照组)。分析2组患者自觉症状及呕吐情况,并观察、记录不良反应及并发症。结果 2组患者在术前口渴、饥饿感,术中呕吐、恶心,术后饥饿、呕吐等观察指标有明显差异(P<0.05),加速康复组均优于对照组。结论 FTS方法在动脉灌注化疗患者中应用是安全、有效和可靠的围治疗期护理方案。

Objective In view of peri-therapeutic hunger,nausea,vomiting and long bed confinement of the malignant tumor patients receiving artery intervention chemotherapy(AIC),we introduced the concept of fast track surgery(FTS) to the nursing of AIC patients.The present study is to evaluate the effectiveness,safety,and advantages of this nursing protocol.Methods We randomly divided 105 malignant tumor patients undergoing AIC into an FTS(n = 42) and a control group(n = 63),the former nursed with the FTS protocol,while the latter with the conventional method.We recorded and compared self-felt symptoms,vomiting and other adverse events and complications between the two groups.Results The FTS group showed a significantly lower degree of preoperative thirst and hunger,intraoperative vomiting and nausea,and postoperative hunger and vomiting than the control group(P<0.05).Conclusion The FTS-based method is a safe,effective and reliable perioperative nursing protocol for malignant tumor patients undergoing artery intervention chemotherapy.