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目的探讨快速康复外科(FTS)理念在腹腔镜胆囊切除手术患者中的应用。方法选取该院2014年9月—2017年6月收治的126例需做胆囊切除手术的结石性胆囊炎患者为研究对象,依照随机原则开展分组使用不同护理方法进行护理,即观察组(63例,常规护理的基础上引入FTS护理理念)和对照组(63例,常规围手术期护理)。观察记录两组患者的术后并发症及术后恢复情况。结果对照组患者术后排气时间、拔管时间、输液总量、住院天数要明显高于观察组(P<0.05);对照组患者术后排气时间、拔管时间、输液总量、住院天数要明显高于观察组(P<0.05)。结论快速康复外科理念应用于腹腔镜胆囊切除手术,大大的提高了护理质量,确保了手术的顺利进行,减少术后并发症,加快了患者的康复。
Objective To investigate the application of rapid rehabilitation surgery (FTS) in patients undergoing laparoscopic cholecystectomy. Methods A total of 126 patients with cholecystolithiasis who underwent cholecystectomy from September 2014 to June 2017 in our hospital were enrolled in this study. Patients were divided into groups according to the principle of randomness and were treated with different nursing methods. The observation group (63 cases , Based on the introduction of routine nursing care concept of FTS) and control group (63 cases, perioperative care). Observe and record the postoperative complications and postoperative recovery of two groups of patients. Results The postoperative exhaust time, extubation time, total amount of infusion and length of hospital stay in the control group were significantly higher than those in the observation group (P <0.05). In the control group, the postoperative exhaust time, extubation time, The number of days was significantly higher than that of the observation group (P <0.05). Conclusion The concept of rapid rehabilitation surgery applied to laparoscopic cholecystectomy, greatly improving the quality of care to ensure the smooth operation, reduce postoperative complications and speed up the recovery of patients.