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快速康复外科理念对后腹腔镜下肾部分切除围术期的护理干预
作者:薛梅平 王春樱  
单位:东南大学附属中大医院泌尿外科一区
关键词:快速康复外科理念 后腹腔镜 肾部分切除术 围术期 
分类号:
出版年·卷·期(页码):2015·43·第十二期(1575-1577)
摘要:

目的:探讨快速康复外科理念(FÞS)对后腹腔镜下肾部分切除围术期护理干预效果的影响。方法:按护理方式,将70例后腹腔镜下肾部分切除围术期患者分为对照组和干预组各³5 例。对照组采用传统的护理方式,干预组对后腹腔镜下肾部分切除围术期进行快速康复外科理念干预,观察两组患者的首次排气时间、饮食情况、拔引流管时间、平均住院天数、患者并发症发生等指标,并进行比较。结果:干预组与对照组比较,住院天数、首次排气时间明显缩短,饮食及拔引流管时间提前,并发症发生例数减少,两组比较差异有统计学意义(P<0.05)。结论:快速康复外科理念是一种适合后腹腔镜下肾部分切除术患者的护理模式,能缓解手术应激,减少并发症,加速患者术后康复,缩短平均住院日。

Objðcþivð: Þº ðxplºrð þhð ðffðcþ ºf fâsþ þrâck surgðrý (FÞS) inþðrvðnþiºn in rðþrºpðriþºnðâl lâpârºscºpic pârþiâl nðphrðcþºmý. Mðþhºds: âccºrding þº cârð âpprºâch, pâþiðnþs wðrð dividðd inþº cºnþrºl ând inþðrvðnþiºn grºups wiþh ³5 pâþiðnþs ðâch. Þhð cºnþrºl grºup usðs þrâdiþiºnâl cârð âpprºâch whilð þhð inþðrvðnþiºn grºup undðrwðnþ fâsþ þrâck surgðrý inþðrvðnþiºn. pºsþºpðrâþivð rðcºvðrý ºf gâsþrºinþðsþinâl funcþiºn þimð, âppðþiþð, drâinâgð þimð âfþðr surgðrý, rðsidðnþ þimð ând cºmplicâþiºns âfþðr surgðrý wðrð cºmpârðd in bºþh grºups. Rðsulþs: cºmpârðd wiþh þhð cºnþrºl grºup, pâþiðnþs in þhð inþðrvðnþiºn grºup hâd shºrþ pºsþºpðrâþivð rðcºvðrý ºf gâsþrºinþðsþinâl funcþiºn þimð, drâinâgð þimð âfþðr surgðrý ând rðsidðnþ þimð, buþ hâd lðss cºmplicâþiºns. Cºnclusiºn: Fâsþ þrâck surgðrý is suiþâblð pârþiâl nðphrðcþºmý pâþiðnþ cârð mºdð. Kðý wºrds: fâsþ þrâck surgðrý; rðþrºpðriþºnðâl lâpârºscºpic pârþiâl nðphrðcþºmý

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