快速康复外科护理路径在痔疮患者围术期中的应用

The application of the fast track surgery nursing pathway on patients with hemorrhoids during the perioperative period

目的探讨快速康复外科护理路径在痔疮患者围术期中应用的有效性、安全性、可行性及优越性。方法将200例需行手术的痔疮患者随机分为观察组和对照组各100例，观察组采用快速康复外科护理路径进行护理，对照组采用常规护理方案进行护理，观察两者的治疗、护理结果及并发症，并进行统计学分析。结果比较两组患者住院时间、首次排尿时间、静脉输液时间、健康教育知晓率和满意度，经t检验，P〈0．05；比较两组患者发生术后出血、便秘、尿潴留、尿路感染、疼痛的例数，经x^2检验，P〈0．05。以上差异均具有统计学意义。结论在痔疮患者围手术期中应用快速康复外科护理路径较传统护理路径有明显优越性，是安全、经济、有效和可行的方法。

Objective To explore the effectivity, security, feasibility and superiority of the fast track surgery nursing pathway in patients with hemorrhoids during the perioperative period. Methods A total of 200 cases of patients with hemorrhoids were randomly divided into experimental group and control group. The experimental group was adopted fast track surgery nursing pathway for nursing, and the control group with conventional nursing. The treatment and nurs- ing results and complications of the two groups were observed and analyzed. Results The hospitalization days, the first time of mieturition, the time of venous transfusion, the awareness of health education and the satisfaction degree of the two groupsbetween the two groups had significant differences （P〈0. 05 ） ; The postoperative bleeding occurred, consti- pation, urinary retention, urinary tract infections, pain cases of the two groups had significant differences （P〈0. 05 ） . Conclusions The application of fast track surgery nursing pathway in patients with hemorrhoids during the perioperative period offers distinct advantages compared with the traditional nursing pathway, and it is a safe, economical, effective and feasible method.