FTS理念下护理对泌尿系结石手术患者炎性因子水平及术后恢复的影响

Effect of nursing care under the FTS concept on inflammatory factors level and postoperative recovery in patients undergoing urinary stone surgery

目的探讨对泌尿系结石手术患者开展快速康复外科(FTS)理念下护理的临床效果。方法选取2020年2月—2022年2月医院泌尿外科收治的80例泌尿系结石手术患者,按照组间基线资料可比的原则分为对照组和观察组,各40例。对照组行常规护理,观察组在对照组基础上予以FTS理念下护理。比较两组患者的手术指标、泌尿功能、术后恢复情况及肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)及白细胞介素-6(IL-6)等炎性因子水平。结果采取FTS理念下护理的观察组患者的手术操作时长及结石排净时间均短于对照组,术中失血量低于对照组,差异有统计学意义(P<0.05);并且观察组患者术后的尿管拔除、排气、下床活动、排便及住院时间均短于对照组,差异有统计学意义(P<0.05)。术后5 d时,采取FTS理念下护理的观察组患者的TNF-α、CRP及IL-6水平均低于对照组,差异有统计学意义(P<0.05)。出院时,采取FTS理念下护理的观察组患者的残余尿量少于对照组,差异有统计学意义(P<0.05),而最大尿流率高于对照组的,差异有统计学意义(P<0.05)。结论FTS理念下护理在泌尿系结石手术患者中效果明显,不仅能改善手术指标,提高炎症控制效果,而且还能促进泌尿功能及术后各项指标恢复。

Objective To explore the clinical effects of nursing care under the concept of fast recovery surgery(FTS)for patients undergoing urolithiasis surgery.Methods 80 cases of urolithiasis surgery patients admitted to the Department of Urology of the hospital from February 2020 to February 2022 were selected and divided into the control group and the observation group according to the principle of comparable baseline data between the groups,each with 40 cases.The control group carried out routine care,and the observation group was cared for under the concept of FTS on the basis of the control group.The surgical indexes,urinary function,postoperative recovery and the levels of tumour necrosis factor-α(TNF-α),C-reactive protein(CRP)and interleukin-6(IL-6)infl ammatory factors were compared between the two groups.Results The length of surgical operation and time of stone evacuation in the observation group with FTS conceptual care were shorter than those in the control group,and the intraoperative blood loss was lower than that in the control group,the diff erence was statistically significant(P<0.05);and the postoperative urinary catheter removal,defecation,getting out of bed,defecation and hospital stay of patients in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05).At 5 d postoperatively,the TNF-α,CRP and IL-6 levels of patients in the observation group who adopted the FTS concept of care were lower than those of the control group,the diff erence was statistically significant(P<0.05).At the time of discharge,the residual urine volume of the patients in the observation group with FTS concept was lower than that of the control group,the diff erence was statistically significant(P<0.05),and the maximum urine flow rate was higher than that of the control group,the diff erence was statistically significant(P<0.05).Conclusion Nursing under the concept of FTS is effective in patients with urinary stone surgery,which not only improves surgical indexes and infl ammation control,but also promotes the recovery of urinary function and postoperative indexes.