快速康复外科在腹腔镜胆囊切除术围手术期护理中的应用

Application of Fast Track Surgery in Perioperative Nursing Care of Laparoscopic Cholecystectomy

目的：探讨快速康复外科（ fast track surgery ，FTS）在腹腔镜胆囊切除术（ laparoscopic cholecystectomy ，LC）围手术期护理中的应用效果。方法2012年1～12月将200例LC按住院号的单双号分为2组，每组100例，比较2组患者康复和并发症发生情况。结果 FTS组术后首次肛门排气时间（12．0±4．4）h ，明显短于对照组（24．9±5．4）h（t＝-18．519，P＝0．000）；术后出院时间（3．2±1．3）d明显短于对照组（4．2±2．1） d（t＝-4．049，P＝0．000）；术后5 d体重下降值（3．2±0．3） kg明显低于对照组（5．2±0．6）kg（t＝-29．814，P＝0．000）。结论 FTS应用于LC能加速患者术后康复。

Objective To investigate the clinical effects of fast track surgery （ FTS ） in perioperative nursing care of laparoscopic cholecystectomy . Methods A total of 200 cases of laparoscopic cholecystectomy between January and December 2012 were randomly divided into two groups , with 100 cases of each group , receiving either FTS or conventional treatment .Comparison of the two groups in patients rehabilitation and complications were observed . Results The postoperative anal flatus time was significantly shorter in the FTS group （12.0 ±4.4） h than that in the control group （24.9 ±5.4） h （t=-18.519, P=0.000）.The postoperative hospital stay was significantly shorter in the FTS group （3.2 ±1.3） d than that in the control group （4.2 ±2.1） d （t=-4.049, P=0.000）.The patients’ weight loss at the 5 postoperative day was significantly less in the FTS group （3.2 ±0.3） kg than that in the control group （5.2 ±0.6） kg （t=-29.814, P=0.000）. Conclusion FTS measures applied in laparoscopic cholecystectomy can significantly accelerate postoperative rehabilitation .