快速康复外科理念在外科腹外疝护理中应用观察.docVIP

快速康复外科理念在外科腹外疝护理中应用观察 　　【摘 要】目的：探究快速康复外科理念在外科腹外疝护理中的应用价值，为临床护理方案的选择提供科学指导。方法：以2016年10月-2017年12月为病例选取时间，纳入98例外科腹外疝患者，按照入院登记先后顺序分为参照组、研究组，各49例，分别予以常规护理、快速康复外科理念护理，对比手术相关指标和并发症发生情况，分析不同护理方案的临床应用效果。结果：研究组患者手术时间、下床活动时间、住院时间明显低于参照组，对比差异显著（P0.05）；研究组并发症发生率为4.08%（2/49），明显低于参照组的16.33%（8/49），对比差异显著，（P0.05）。结论：在外科腹外疝护理中应用快速康复外科理念可优化手术指标，降低并发症发生率，效果理想，推广应用价值高。 　　【关键词】快速康复外科理念；外科腹外疝；护理 　　Abstract Objective： To explore the value of the concept of rapid rehabilitation surgery in the surgical care of external caries， and provide scientific guidance for the selection of clinical nursing programs.Methods：fromOctober 2016 to 2017 December as the case selection time， 98 cases of surgical abdominal hernia patients were included. According to the order of admission， the patients were divided into a reference group and a study group. Each of the 49 cases received routine nursing and rapid rehabilitation surgery. Comparing the relevant indicators of surgery and the occurrence of complications， the clinical application effects of different nursing programs were analyzed.Results：The operative time， ambulation time and length of stay in the study group were significantly lower than those in the reference group （P0.05）. The complication rate in the study group was 4.08% （2/49）， which was significantly lower than that of the reference group. 16.33% （8/49）， the difference was significant （P0.05）. Conclusion： The concept of rapid rehabilitation surgery can be used to optimize surgical index and reduce the incidence of complications in the surgical care of external caries of the abdomen. The effect is ideal and the value of promotion and application is high. 　　Key words： rapid rehabilitation surgery concept； surgical abdominal hernia； nursing 　　【中图分类号】R36.23 【文献标识码】A 【文章编号】1672-3783（2018）06-03--01 　　腹外疝为腹外科常见病，包括腹股沟疝、切口疝、白线疝、股疝、脐疝等几种类型，其中以腹股沟疝居多。患者的主要临床表现为便秘、咳嗽、排尿困难等，对患者正常的活动、工作及生活造成严重不良影响。对于该病，临床当中多以手术治疗，能够有效纠正疝[1]。但是手术过程中需要配合有效的护理干预才能达到理想的治疗效果。快速康复外科理念（FTS）为丹麦外科医生Kehlet提出，并于2001年首次应用于临床实践