Liu Yongrui
Nursing Department, People's Hospital of Zhengzhou, Zhengzhou, Henan Province, China.
Saudi J Biol Sci. 2017 Dec;24(8):1939-1942. doi: 10.1016/j.sjbs.2017.11.045. Epub 2017 Nov 16.
: To investigate the clinical effect of fast track surgery (FTS) in perioperative nursing of colorectal cancer surgery. : In recent years, many complicated surgery began to develop in the direction of low invasion and short hospital time, which provides an unprecedented opportunity for the development of fast track surgery (FTS). : According to different nursing measures, 156 cases of colorectal cancer patients treated in our hospital were divided into FTS nursing group (86 cases) and traditional nursing group (70 cases). FTS nursing care and traditional nursing care were respectively employed to analyze and compare postoperative recovery and complications of the two groups. : FTS nursing group was significantly shorter than the traditional care group in terms of the first postoperative exhaust time, the first defecation time, the first eating time, ambulation time and postoperative hospital time, with statistical significance ( < .05); compared with the conventional nursing group, FTS group significantly had lower incidence of postoperative intestinal obstruction, lower limb vein thrombus formation and gastrointestinal discomfort, with statistical significance ( < .05); FTS group has less situations of nausea and vomiting, incision infection, pulmonary infection, urinary tract infection and anastomotic leakage compared to the conventional nursing group. : FTS nursing can effectively promote the postoperative recovery of intestinal function for patients with colorectal cancer and reduce the occurrence of postoperative complications, which will relieve postoperative pain and shorten the length of stay, giving patients increased rehabilitation quality.
探讨快速康复外科(FTS)在结直肠癌手术围手术期护理中的临床效果。近年来,许多复杂手术开始朝着低侵袭性和缩短住院时间的方向发展,这为快速康复外科(FTS)的发展提供了前所未有的机遇。根据不同护理措施,将我院收治的156例结直肠癌患者分为FTS护理组(86例)和传统护理组(70例)。分别采用FTS护理和传统护理,分析比较两组患者术后恢复情况及并发症发生情况。FTS护理组术后首次排气时间、首次排便时间、首次进食时间、下床活动时间及术后住院时间均明显短于传统护理组,差异有统计学意义(P<0.05);与传统护理组相比,FTS组术后肠梗阻、下肢静脉血栓形成及胃肠道不适发生率明显较低,差异有统计学意义(P<0.05);FTS组恶心呕吐、切口感染、肺部感染、泌尿系统感染及吻合口漏等情况少于传统护理组。FTS护理能有效促进结直肠癌患者术后肠道功能恢复,减少术后并发症的发生,减轻术后疼痛,缩短住院时间,提高患者康复质量。