快速康复外科理念在老年患者腹腔镜胆囊切除术护理中的应用

Application of fast track surgery concept in the nursing of elderly patients undergoing laparoscopic cholecystectomy

目的探讨快速康复外科理念应用于老年患者腹腔镜胆囊切除术护理的临床效果。方法随机选取60例择期行腹腔镜胆囊切除术患者,分为对照组(n=30)与观察组(n=30),对照组围术期行常规护理,观察组围术期行快速康复外科护理方案,比较两组围术期各临床指标。结果观察组首次下床时间、肛门排气时间及首次进食时间等临床指标均明显优于对照组(P <0. 05)。观察组术后1天、3天的白细胞计数、中性粒细胞百分数、白细胞介素-6及皮质醇恢复水平均明显优于对照组(P <0. 05)。对照组术后并发症发生率达23. 3%,观察组则为6. 7%。结论快速康复外科应用于老年腹腔镜胆囊切除术围手术期护理,能够缩短患者住院时间,加速康复。

Objective To explore the clinical efficacy of fast track surgery(FTS)concept in the nursing of elderly patients undergoing laparoscopic cholecystectomy(LC).Methods Totally60patients selectively undergoing LC were randomly divided into control group(n=30)and control group(n=30).The control group was given routine nursing perioperatively,while the observation group given FTS nursing regimen perioperatively.The perioperative clinical indexes of two groups were compared.Results The clinical indexes including the first time to get out of bed,anal evacuation time and the first time of food intake in observation group were all superior to those in control group(P<0.05).The recovery levels of white blood cell count,neutrophil granulocyte percentage,interleukin-6(IL-6)and cortisol in observation group1and3d after operation were all superior to those in control group(P<0.05).The incidence of postoperative complications was23.3%in control group and6.7%in observation group.Conclusion Application of FTS in the perioperative nursing of elderly patients undergoing LC can shorten the hospital stays and accelerate rehabilitation.