中西医结合快速康复理念在结直肠外科围手术期护理的应用

Application of Integrative Medicines of TCM and WM Combined with Fast-track Surgery Concept in Perioperative Nursing in Colorectal Surgery

目的探讨中西医结合快速康复外科理念在结直肠外科围手术期护理中的临床应用效果和意义.方法随机将120例结直肠外科手术患者分为2组,其中观察组和对照组各60例,观察组采用快速康复外科(fast-track surgery,FTS)理念加中西医结合护理方法,对照组采用传统的围手术期护理处理.结果观察组术后肠鸣音恢复、肛门排气、排便、住院时间以及术后并发症发生率明显小于对照组(P<0.05);和对照组相比,观察组护理总满意度显著提高(P<0.05).结论快速康复外科(FTS)理念加中西医结合护理方法可以增进术后恢复、减少并发症,是一种有效、安全的围术期护理方法,值得临床推广应用.

Objective To study the clinical effect and significance of integrative medicines of TCM and WM combined with fast-track surgery concept on perioperative nursing in eolorectal surgery. Methods One hundred and twenty patients with surgery were randomly divided into the observation group and the control group, 60 cases in each group. The control group was treated with conventional nursing, while the observation group was treated with fast track surgery nursing of integrative medicines of TCM and WM. Results Bowel sound recovery time, anus exhaust time, defecation time, length of hospital stay and postoperative complications of observation group was significantly less than the control group （P〈0.05）. Nursing total satisfaction of observation group was significantly higher than the control group （P〈0.05）. Conclusion Integrative medicines of TCM and WM combined with fast-track surgery concept on perioperative nursing in colorectal surgery can reduce stress, speed up the recovery, reduce complications. So it is a safe and effective way of perioperative nursing, and worthy of clinical popularization and application.