快速康复外科理念在食管癌患者围术期护理中的应用

Implication of Fast Track Surgery Theory in Perioperative Nursing of Esophageal Cancer Paitents

目的探讨食管癌患者围术期的护理方法,以期能够减轻患者的手术应激反应及减少并发症的发生。方法选择2009年2月至2010年8月在郑州大学附属肿瘤医院胸外科治疗的40例食管癌患者为研究对象。遵循快速康复外科理念,采用术前教育、维持术中术后正常体温、术后有效的镇痛、限制液体输入、加强各种引流管的护理、术后早期活动与早期进食等措施。结果本组患者中术后发生呼吸道感染2例、切口感染2例、心律失常1例。住院天数7～16d,平均(9.5±3.8)d;住院费用2～4.5万元,平均(2.8±0.8)万元。所有患者术后均是停止临床支持和干预达到临床出院标准予以出院,无出院再反院者。结论 应用快速康复外科理念对食管癌患者进行围术期护理,促进了患者术后康复,值得临床推广。

Objective To explore the perioperative nursing methods for patients with esophageal cancer with a view to relieving the surgical stress and reducing the complications.Methods From February 2009 to August 2010,40 patients with esophageal cancer in the hospital were enrolled in the study to follow the concept of fast track surgery,preoperative education,maintaining normal temperature in and after operation,effective postoperative analgesic,restrictions on liquid infusion,drainage-tube nursing,early activities and food taking after operation.Results After operation,respiratory tract infections occurred in 2 cases,operative incision infection in 2 and arrhythmia in 1 case.The hospital stsys ranged 7-16 d,with a mean of（9.5±3.8） All the patients were discharged after recovery.Conclusion Perioperative nursing can be carried out flowing the fast-track surgery theory to promote patients＇ early rehabilitation,and thus deserves further clinical application.