FTS理念在腹腔镜阑尾切除患者中的临床效果观察

Effect of rapid rehabilitation surgery in laparoscopic appendectomy

为探讨快速康复外科(FTS)理念在腹腔镜阑尾切除术患者治疗中的临床效果,选泽2018年1月-12月在普外科接受手术治疗的80例急性阑尾炎患者作为研究对象.根据围手术期实施方案的不同,将其分为对照组和观察组.对照组采取腹腔镜治疗,观察组在腹腔镜治疗的同时,基于FTS理念采用心理干预、细化健康宣教、禁食禁饮、不留置尿管,术中保温、不常规放置腹腔引流管,术后根据疼痛评分充分止痛、早期下床活动、充分评估进食时间等干预措施.比较两组患者治疗恢复效果.结果显示:观察组下床活动时间、第一次肛门排气时间、肠蠕动恢复时间、住院天数均明显短于对照组,差异具有统计学意义(P<0.05);术后并发症焦虑、恶心呕吐(例)、腹胀(例)、肠粘连(例)、切口感染(例)出现情况低于对照组,差异有统计学意义(P<0.05).表明在阑尾炎腹腔镜治疗中应用FTS理念,可以有效促进胃肠道功能的恢复,消除或减少术后焦虑等并发症的发生,降低手术应激反应,缩短住院天数,促进患者生理和心理的快速康复.

In order to explore the clinical effect of the concept of rapid rehabilitation surgery(FTS)in the treatment of patients undergoing laparoscopic appendectomy,80 patients with acute appendicitis who underwent surgery in general surgery from January 2018 to December 2018 were selected as the research objects,and were divided into control group and observation group according to different perioperative implementation schemes.The control group was treated by laparoscopy;the observation group adopted FTS concept,psychological intervention,detailed health education,fasting and drinking time and no indwelling catheter while receiving laparoscopic treatment,intraoperative heat preservation and unconventional placement of abdominal drainage tube.After operation,intervention measures were taken for full relief of pain according to the pain score,and early getting out of bed,and adequate evaluation of the diet time.The recovery effects of the two groups were compared,the results showed that the time of getting out of bed,the time of the first anal exhaust,the recovery time of intestinal peristalsis and the days of hospitalization in the observation group were significantly shorter than those in the control group.The difference was statistically significant(P<0.05);postoperative complications anxiety,nausea and vomiting(cases),abdominal distension(cases),intestinal adhesion(cases)and incision infection(cases)were lower than those in the control group(P<0.05).The application of FTS concept in laparoscopic treatment of appendicitis can effectively promote the recovery of gastrointestinal function,eliminate and reduce the occurrence of complications such as postoperative anxiety,re duce surgical stress response,shorten the length of hospital stay,and promote the rapid physiological and psychological recovery of patients.