摘要
目的对比加速康复外科(FTS)理念指导的围术期护理方法和传统的常规围术期护理方法对促进泌尿外科腹腔镜手术患者恢复的效果。方法选择我科2009年3—8月实施的腹腔镜手术患者24例,围术期护理采用FTS理念指导的优化护理措施;调取以往住院同种手术患者采用传统的围术期护理方式的患者24例为传统护理组,比较两组患者术后平均住院时间和并发症的发生率等资料。结果FTS护理组术后平均住院时间(4.6±2.6)d,传统护理组为(7.8±3.9)d,两组间差异有统计学意义(P<0.01)。FTS护理组并发症发生率37.5%(9/24),传统护理组并发症发生率58.3%(14/24),两组间差异无统计学意义(P>0.05)。结论FTS理念指导的围术期护理缩短了术后平均住院时间,不增加并发症发生率,可以促进患者快速康复。
Objective To assess the effect of fast track surgery （FTS） perioperative care in laparoscopic urinary surgery comparing with that of classical care.Methods From March 2009 to August 2009,24 patients treated by laparoscopic urinary surgery and cared with FTS methods perioperatively were enrolled,and another 24 patients with the same disease treated by the same operative modus,but cared classically were taken as the controls.The data of hospital stays and incidence of complications of the patients of the two groups were analyzed and compared.Results The average hospital stay of the patients cared with FTS methods was （4.6±2.6） days,and that of the patients cared classically was （7.8±3.9） days,with a statistically significant difference between the two groups （P〈0.01）.The incidence of complication in the group with FTS methods was 37.5% （9/24） and that in the group with classical methods was 58.3% （14/24）,no statistically significant difference was found between two groups （P〉0.05）.Conclusion The FTS methods can shorten the average hospital stay and speed up the rehabilitation,and it does not increase the incidence of complication.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第12期1352-1354,共3页
Chinese General Practice
关键词
加速康复外科
泌尿外科手术
康复护理
腹腔镜
Fast track surgery
Urologic surgical procedures
Rehabilitation nursing
Laparoscopes
作者简介
通讯作者：王振显，050051河北省人民医院泌尿外科；E—mail：guomk@tom．com
