快速康复外科理念联合中医护理在经皮肾镜取石术中的运用

Application of fast track surgery concept plus traditional Chinese medicine nursing in the treatment of percutaneous nephrolithotomy

目的探讨快速康复外科护理联合中医护理措施在经皮肾镜取石术围手术期的应用效果。方法将130例经皮肾镜取石术患者随机分为对照组G1和试验组G2,对照组采用传统的常规围术期护理方法,试验组采取快速康复外科围术期护理联合中医护理措施。结果试验组术后恢复(包括离床时间、进食时间、首次肠道排气时间、排便时间等)优于对照组(P<0.05),并且术后近期相关并发症的发生情况低于对照组(P<0.05)。结论快速康复外科护理联合中医护理措施应用于经皮肾镜取石术,不仅有利于促进患者术后的恢复,而且明显降低了术后并发症的发生,减少了住院时间和治疗费用,增强了护患关系,提高了患者的满意度,临床应用安全、经济、有效,值得进一步推广。

Objective To explore the. application effects of fast track surgery concept plus traditional Chinese medicine nursing in the treatment of peri-operative percutaneous nephrolithotomy. Methods In total 130 cases of percutaneous nephrolithotomy pa- tients were divided into treatment group and control group. In the control group, traditional routine peri-operative nursing was ap- plied; in the treatment group, fast track surgery plus traditional Chinese medicine nursing was used. Results The post-surgery re- covery （including time of leaving bed, food in-take, intestinal exhaust, defecation, etc） in the treatment group was better than that in the control group （ P 〈 0. 05 ）, and the occurrence of post-surgery short-term complications was lower than in the control group （ P 〈 O. 05）. Conclusion For the percutaneous nephrolithotomy, fast track surgery combined with traditional Chinese medicine nurs- ing not only promotes the recovery following surgeries, but also apparently reduces the occurrence of complications and the hospitali- zation time and cost, strengthens the relationship between doctors and patients, and enhances the acceptance, which is safe, cheap and effective and worthy of being further popularized.