快速康复外科理念在肺癌围术期护理中的应用观察

Application of fast track surgery theory in perioperative nursing care for patients with lung cancer

目的:观察快速康复外科理念在肺癌围术期护理中的应用效果。方法:将60例手术治疗的肺癌患者随机均分为观察组及对照组;对照组接受传统方法治疗,观察组接受快速康复外科理念方案治疗。比较2组患者术后24 h疼痛程度、肺不张发生率、胸腔积液发生率、肺部感染率、术后住院时间及住院总费用。结果:观察组术后24 h疼痛VAS评分、肺不张发生率、术后住院时间和住院总费用均显著低于对照组(P<0.05～P<0.01),2组肺部感染率、胸腔积液发生率差异均无统计学意义(P>0.05)。结论:肺癌围术期护理中应用快速康复外科理念,可有效促进肺癌术后患者的康复,降低术后并发症发生率,缩短住院时间,减少住院费用。

Objective： To observe the effect of fast track surgery（FTS） theory in perioperative nursing care for patients with lung cancer. Methods： A total of 60 cases of lung cancer were randomized divided into two groups. The control group received conventional nursing care and the experimental group adopted fast track surgery theory in perioperative nursing care. The incidence of post-operation pain, atelectasis, pleural effusion, lung infection, and the time of post-operative hospital stay and the total cost during hospitalization were compared between the two groups. Results： The VAS score of post operation pain at 24 hours, the incidence of atelectasis, the length of hospital stay after operation and the total cost decreased significantly in the experimental group when compared with that in the control group（ P 〈0.05 - P 〈0.01 ）. There was no significant difference in the incidence of lung infection or pleural effusion between the two groups（P 〉 0.05）. Conclusions：Application of FTS theory in perioperative nursing care could apparently accelerate the recovery of patients receiving lung cancer surgery, decrease the complication, shorten the time of hospital stay and cut down the total cost.