应用加速康复外科护理对腹腔镜胃癌根治术患者预后的影响

Impact of fast track surgery nursing on prognosis of patients with laparoscopy assisted radical gastrectomy

目的:探究应用加速康复外科护理对腹腔镜胃癌根治术患者预后的影响.方法:将我院收治的120例腹腔镜胃癌根治术患者随机分为观察组(n=60)和对照组(n=60),观察组采用加速康复外科护理进行围手术期护理,对照组采用常规护理方案进行围手术护理.对两组患者治疗前后TP、ALb、前蛋白和C反应蛋白的表达情况以及术后患者的发热情况、肛门排气时间、住院时间、再手术例数、4周内再入院例数、疼痛评分和QOL进行比较.结果:观察组患者在接受治疗后1 d以及3 d其TP、ALb、前蛋白和C反应蛋白的表达明显优于对照组;并对Clavien-Dindo并发症进行分级,统计呼吸道的相关并发症、术后再手术例数以及术后4周再次入院例数,对其结果进行组间比较,差异无统计学意义(P>0.05),但观察组患者发热时间、肛门排气时间、住院费用、住院天数、疼痛评分以及QOL的评分比较明显优于对照组(P<0.05).结论:应用加速康复外科护理可促进腹腔镜胃癌根治术患者早期康复.

AIM: To explore the impact of fast track surgery nursing( FTS) on prognosis of patients with laparoscopy assisted radical gastrectomy. METHODS:A total of 120 cases of radical gastrectomy admitted to our hospital were randomly divided into the control group and the observation group, in which the control group received conventional nursing programs while the observation group received FTS nursing. TP,ALb,prealbumin and C?reactive protein expression of patients before operation, and fever, anal exhaust time, hospital stay, readmission within 4 weeks, pain tatingand QOL of patients after operation were all recorded and compared. RESULTS: Results of TP, ALb, prealbumin and C?reactive protein expression of patients after 1 day and 3 days were all better than those of control group. According to Clavien?Dindo complications classification, there were no significant difference in respiratory complications, reoperation cases and readmission within 4 weeks of both groups ( P>0.05) . But results of fever flatus time,hospital costs,length of stay,pain rating scores and QOL scores in the observation group were better than those of control group ( P<0. 05 ) . CONCLUSION: FTS Nursing can promote early rehabilitation of patients with laparoscopy assisted radical gastrectomy.