快速康复外科理念在腹腔镜胆囊切除术患者围术期的应用效果.docxVIP

快速康复外科理念在腹腔镜胆囊切除术患者围术期的应用效果 　　[摘要]目的探討快速康复外科（fts）理念在腹腔镜胆囊切除术（lc）患者围术期的应用效果。方法选取2018年4月～2019年4月我院收治的56例lc患者作为研究对象，按照随机数字表法分为观察组（n=28）和对照组（n=28）。对照组采用常规护理，观察组采用fts理念，比较两组的各项临床指标、并发症总发生率与生活质量（qol）评分。结果观察组禁食、排气、下床及住院时间短于对照组，差异均有统计学意义（p0.05）;观察组并发症总发生率低于对照组，差异有统计学意义（p0.05）;观察组生理功能、物质生活、社会功能及心理功能评分高于对照组，差异均有统计学意义（p0.05）。结论对lc患者围术期开展fts理念护理，能缩短其禁食、排气、下床与住院时间，并减少并发症的发生，有利于患者生活质量的提高，值得临床推广。 　　[关键词]腹腔镜胆囊切除术;快速康复外科理念;围术期;生活质量;并发症 　　[中图分类号]r473.6[文献标识码]a[文章编号]1674-4721（2020）3（c）-0205-03 　　effectofconceptofrapidrehabilitationsurgeryonperioperativeperiodofpatientsundergoinglaparoscopiccholecystectom 　　liuxiao-qinxiaohua-lanouyangyu-lian 　　departmentofsurgery，shanghaiorientalhospitalji′anhospital，jiangxiprovince，ji′an343000，china 　　[abstract]objectivetoexploretheeffectofrapidrehabilitationofsurgical（fts）conceptintheperioperativeperiodofpatientswithlaparoscopiccholecystectomy（lc）.methodsatotalof56patientswithlcinourhospitalfromapril2018toapril2019wereselectedasthesubjectsofstudy.accordingtotherandomnumbertablemethod，theyweredividedintoobservationgroup（n=28）andthecontrolgroup（n=28）.thecontrolgroupwasgivenroutinenursing，theobservationgroupwasgivenftsconcept.theclinicalindexes，totalincidenceofcomplicationsandqualityoflife（qol）scorewerecomparedbetweenthetwogroups.resultsthefastingtime，exhausttime，bedtimeandhospitalizationtimeoftheobservationgroupwereshorterthanthoseofthecontrolgroup，andthedifferenceswerestatisticallysignificant（p0.05）.thetotalincidenceofcomplicationsintheobservationgroupwaslowerthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（p0.05）.thephysiologicalfunction，materiallife，socialfunctionandpsychologicalfunctionscoresoftheobservationgroupwerehigherthanthoseofthecontrolgroup，thedifferenceswerestatisticallysignificant（p0.05）.conclusioninperioperativeperiod，thepatientswithlcarecarriedoutthenursingworkbasedontheftsnursingconcept，itcanshortenfastingtime，exhausttime，bedstayandstay，reducetheincidenceofcomplications，isbeneficialtotheim