胡英娜.快速康复外科理念在机器人辅助后腹腔镜肾部分切除术病人围手术期护理中的应用效果研究[J].上海护理,2018,18(6):
快速康复外科理念在机器人辅助后腹腔镜肾部分切除术病人围手术期护理中的应用效果研究
投稿时间:2016-08-14  修订日期:2018-05-31
DOI:
中文关键词:  快速康复外科理念  泌尿外科  机器人辅助后腹腔镜肾部分切除术  护理干预
英文关键词:Fast  track surgery,urinary  surgery,assisted  retroperitoneal laparoscopic  partial nephrectomy ,nursing  intervention
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作者单位E-mail
胡英娜 中国人民解放军总医院 weixiaohuna@163.com 
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中文摘要:
      目的:探讨快速康复外科理念在泌尿外科机器人辅助后腹腔镜肾部分切除手术病人围手术期护理中的应用效果。方法:将本院泌尿外科收治的91例行机器人辅助后腹腔镜肾部分切除手术患者随机分为观察组46例,对照组45例,观察组患者实施快速康复外科理念(fast track surgery,FTS)指导的围手术期护理措施,包括术前饮食、肠道管理、术后保温、活动与饮食管理、输液管理及导尿管处理等内容,对照组采用传统围手术期护理措施,比较两组患者术后首次排便、排尿时间,术后住院费用、住院时间及并发症情况。结果:①观察组术后首次排便、排尿时间、住院时间均低于对照组,且差异均具有统计学意义(t=5.515 p<0.000;t=4.608 p<0.000;t=2.923 p=0.004)。②两组患者术后住院费用差异无统计学意义(t=0.350 p=0.727);③观察组与对照组术后出现并发症患者构成比分别为32.61%(15/46)、53.33%(24/45),差异有统计学意义(χ<sub>2</sub>=4.090,p=0.043)。结论:机器人辅助后腹腔镜肾部分切除手术患者围手术期采用FTS理念指导下的护理措施,可明显促进患者康复,且安全有效。
英文摘要:
      Objective: To explore and discuss efficacy of fast track surgery in perioperative nursing on patients ith robot ssisted retroperitoneal aparoscopic partial nephrectomy surgery. Methods:91admitted cases with robot assisted retroperitoneal laparoscopic partial nephrectomy in department of urologySwere randomly divided into observationSgroup (46 cases)and control group(45 cases),Sthe patients in observation groupS were applied with fastStrackSsurgery(FTS)SguidanceSof peri peration ursing,Swhich conluding preoperativeSdiet,bowelSmanagement,SpostoperativeSinsulation,Sactivity Sdiet management, transfusion preicatheter anagement,Swhile control group was given traditional perioperative nursingSmeasures, and postoperative defecation time, urination time,Spostoperative hospitalSexpenses, hospital stays and complications were noted and compared between 2 groups.SResults:①Patients in observation groupSwhose first defecation time,Surination time, hospital stay were all lower than control group,Sand the differences wereSstatistically significantS(t=5.515,SPS<0.000;St=4.608,SPS<0.000;St=2.923Sp=0.004).②SPostoperativeShospitalization expensesS of 2 groups of patients had no significant differenceS(t=0.350Sp=0.727);③Complication incidences of observation group and control groupS wereS32.61%S(15/46),S53.33%S(24/45)respectively,Sthe difference was statistically significantS(χ <sub>2</sub>=4.090, p=0.043). Conclusion: Nursing measures under the guidance of FTS given to patients with robot ssisted retroperitoneal aparoscopic partial nephrectomy surgery can obviously promote patients’ early recovery ,and is safe and effective.
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