快速康复外科在胃癌腔镜手术的护理

Nursing experience of fast-track surgery in laparoscopic radical operation for carcinoma of stomach

目的探讨快速康复外科(FTS)护理在胃癌腔镜手术的应用效果。方法将118例接受腔镜辅助下胃癌手术的患者分为快速康复组和传统组各59例,分别采用FTS护理措施和传统护理措施,比较2组患者的临床疗效及其并发症。结果快速康复组患者的输液量、术后排气排便时间、下床活动时间、进食时间、住院时间和住院费用等指标与传统组比较,差异均有统计学意义(P<0.01)。2组患者术后并发症比较,除肺部并发症外,差异均无统计学意义(P>0.05),但快速康复组的总并发症发生率低于传统组,差异有统计学意义(P<0.05)。结论胃癌腔镜手术围术期运用FTS护理措施能加速患者的康复并减少并发症,具有临床意义。

Objective To study the application value of fast-track surgery （FTS） nursing in [aparoscopic radi- cal operation for carcinoma of stomach. Methods A total of 118 gastric cancer patients were divided into FTS group and traditional group. Each group had 59 cases. The FTS group accepted FTS nursing and the traditional group ac- cepted traditional nursing. The therapeutic effect and complication were compared between two groups. Results The infusion quantity, exhausting time, defecating time,bed activity time, time of food uptake, length of stay （LOS） and hospitalization expenses were different between two groups. There was statistical significance between them, P〈0.01. There was no statistical significance of each complication between two group expect lung complication, P〉 0.05. There was statistical significance of total complications between them, P〈0.05. Conclusion For patients of laparogcopm radical operation. FTS nursing can accelerate recovery and reduce complication. It is worth to clinical promotion.