快速康复外科理念在胸腔镜肺癌手术护理中的应用效果

Application effect of the concept of rapid rehabilitation surgery in thoracoscopic surgical nursing of lung cancer

目的探讨快速康复外科理念在胸腔镜肺癌手术护理中的应用效果。方法选取2019年3月至2020年11月福建中医药大学附属人民医院收治的80例胸腔镜肺癌手术患者作为研究对象,用随机数字表法将其分对照组和观察组,各40例。对照组接受常规护理,观察组在常规护理基础上接受快速康复外科理念干预,比较两组患者并发症发生情况、围手术期指标、肺功能指标。结果观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组手术时间、下床时间、尿管拔管时间、胸管拔管时间、住院时间短于对照组,观察组的住院费用低于对照组,差异有统计学意义(P<0.05);两组患者术前呼气流量峰值(PEF)、6 min步行距离、静息血氧饱和度(SpO_(2))比较,差异无统计学意义(P>0.05),观察组术后3 d的PEF、6 min步行距离、静息SpO_(2)高于对照组,差异有统计学意义(P<0.05)。结论胸腔镜肺癌手术患者接受快速康复外科理念干预,可显著降低感染率和并发症,并促进改善肺功能和术后恢复。

Objective To explore the application effect of the concept of rapid rehabilitation surgery in thoracoscopic surgical nursing of lung cancer.Methods A total of 80 patients with thoracoscopic lung cancer surgery admitted to the Affiliated People′s Hospital of Fujian University of Traditional Chinese Medicine from March 2019 to November 2020 were selected as the study subjects,and they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received rapid rehabilitation surgical concept intervention on the basis of routine nursing.The incidence of complications,perioperative indexes and lung function indexes were compared between the two groups.Results The total incidence of complications in observation group was lower than control group,the difference was statistically significant(P<0.05).The time of operation,time of getting out of bed,time of urinary tube extubation,time of chest tube extubation and length of hospital stay in the observation group were shorter than those in the control group,and the hospitalization cost in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in preoperative peak expiratory flow(PEF),6 min walking distance and resting oxygen saturation(SpO_(2))between two groups(P>0.05).PEF,6 min walking distance and SpO_(2) at rest in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The intervention of patients undergoing thoracoscopic lung cancer surgery with the concept of rapid rehabilitation surgery can significantly reduce the rate of infection and complications,and promote improved lung function and postoperative recovery.