快速康复护理在单孔腹腔手术治疗卵巢良性疾病的应用研究

Rapid Rehabilitation Care in the Application of Single-port Laparoscopic for Benign Ovarian Disease

目的:探讨快速康复护理(FTS-CNP)运用于单孔腹腔手术治疗卵巢良性疾病中的临床效果。方法:选择2010年1月-2013年1月因卵巢良性疾病在我院行单孔腹腔手术治疗的患者共58例,按住院先后顺序分为实验组和对照组各29例,实验组采用快速康复护理,对照组实行传统护理。比较两组患者胰岛素抵抗指数、术后进食时间、术后排尿时间、术后下床时间、术后肛门排气时间、术后住院时间、并发症发生率、再入院率等指标,从而分析两种不同护理模式干预后的临床效果。结果:两组患者的IR指数、术后进食时间、术后拔除尿管时间、术后下床时间、术后肛门排气时间、术后住院时间等差异均有统计学意义(P<0.05);并发症的发生率、再住院率差异无统计学意义(P>0.05)。结论:快速康复护理在单孔腹腔镜手术治疗卵巢良性疾病时能有效的让患者快速康复、减少住院时间及费用的同时不增加并发症的发生率。

Explore the clinical effects of fast track surgery-clinical pathway of nursing （FTS-CNP） in sin-gle-port laparoscopic surgery for benign ovarian disease .Methods：58 patients with benign ovarian disease for treatment of single-port laparoscopic were divided into study group and control group randomly ,the study group use fast track surgery ,the control group of traditional care .The two groups were compared with insulin resistance index ,the postop-erative feeding time ,the postoperative voiding time to get out of bed after time ,anal exhaust time ,postoperative hospi-tal stay ,complication rate ,readmission rate ,two different model of care after clinical results were analysed .Results ：IR index ,postoperative feeding time ,postoperative catheter removal time ,bed time ,anal exhaust time ,postoperative hospital stay after differences were statistically significant （P〈0 .05）;concurrent the incidence of the disease ,readmis-sion rates was no significant difference （P〉0 .05） .Conclusion：Fast track surgery in the single-port laparoscopic for be-nign ovarian disease can effectively enable patients to recover quickly ,reduce hospitalization time and costs at the same time does not increase the incidence of complications .