快速康复外科理念在胸腔镜肺癌切除术围手术期护理中的运用效果

Application Effect of Fast Track Surgery Concept in Perioperative Nursing of Thoracoscopic Lung Cancer Resection

目的探讨快速康复外科理念在胸腔镜肺癌切除术围手术期护理中的运用效果。方法以2017年9月-2021年9月盐城市第一人民医院心胸外科收治的70例胸腔镜肺癌手术患者为对象,运用随机数字法将其等分为对照组与研究组各35例。对照组患者选择传统模式的胸腔镜肺癌切除术的围手术期护理;研究组患者采取快速康复外科理念(fast-track surgery,FTS)模式的围手术期护理干预措施。比较两组患者的术后恢复情况、并发症情况以及术后NRS评分。结果从患者的排气时间、住院时间、拔管时间以及下床活动时间上看,研究组要比对照组更短,差异存在统计学意义(P<0.05)。通过对各项并发症发生率的对比分析可知,在心律失常、术后切口感染、肺部感染以及胸腔积液等并发症的发生率上,研究组要比对照组更低,两组对比差异有统计学意义(P<0.05)。从术前NRS疼痛评分上看,两组患者的对比不存在明显的统计学意义(P>0.05);从术后第1d、第3d、第7d研究的NRS评分上看,研究组都低于对照组,两组间差异有统计学意义(P<0.05)。结论针对接受胸腔镜肺癌根治术的患者应用快速康复理念,有利于降低术后并发症的发生概率,减少住院时长,减轻术后痛感,促进患者的身体早日恢复至健康状态。

Objective To explore the application effect of fast track surgery concept in perioperative nursing of thoracoscopic lung cancer resection.Methods 70 patients with thoracoscopic lung cancer treated in the Department of Cardiothoracic Surgery of Yancheng First People's Hospital from September 2017 to September 2021 were randomly divided into control group and study group,with 35 cases in each group.The patients in the control group chose the perioperative nursing of traditional thoracoscopic lung cancer resection;the patients in the study group took the perioperative nursing intervention measures of fast track surgery(FTS)mode discussed in this paper.The postoperative recovery,complications and postoperative NRS score were compared between the two groups.Results The exhaust time,hospitalization time,extubation time and ambulation time of patients in the study group were shorter than those in the control group,with significant statistical significance(P<0.05).Through the comparative analysis of the incidence of arrhythmia,postoperative incision infection,pulmonary infection and pleural effusion,the study group was lower than the control group,and the comparison between the two groups had significant statistical significance(P<0.05).From the preoperative NRS pain score,there was no significant difference between the two groups(P>0.05);from the NRS score on the lst,3rd,7th day,and the day after operation,the study group was lower than the control group,and the comparison between the two groups was statistically significant(P<0.05).Conclusion The application of rapid rehabilitation concept in patients undergoing thoracoscopic radical resection of lung cancer can reduce the probability of postoperative complications,reduce the length of hospital stay,reduce postoperative pain,and promote the recovery of patients'health as soon as possible.