摘要
目的探讨快速康复外科理念在食管癌围术期护理中的应用效果。方法将156例同期住院的食管癌手术患者随机分为观察组(76例)和对照组(80例),对照组按食管癌手术常规护理;观察组遵循快速康复外科理念采用术前教育、手术准备、术后镇痛、体温保护、液体管理、引流管护理、术后饮食护理及早期活动等措施。结果两组术后首次排气、排便时间,术后并发症发生率,住院总费用及住院时间比较,差异有统计学意义(P<0.05,P<0.01)。结论快速康复外科理念在围术期的灵活应用,可有效促进食管癌术后患者的康复,减少术后并发症发生率,缩短住院时间,降低住院费用。
Objective To investigate the effect of fast tract surgery used in perioperative nursing care for patients with esophageal cancer. Methods A total of 156 patients with esophageal cancer were randomized into a control group（80 cases） and an observation group（76 cases）. Patients in the control group were given conventional nursing care, while those in the observation group were used fast tract surgery theory in perioperative care, such measures as preoperative education, preparedness of surgery, postoperative analgesia, temperature maintenance, fluid management, drainage tube care, dietary care and early activities were improved. Results The time of gas passage and defecation, the occurrence rate of complications, the total hospitalization expense and the length of hospital stay showed significant differences between the two groups（P〈0.05, P〈0.01）. Conclusion Fast tract surgery theory employed in perioperative nursing care can accelerate recovery after esophagectomy, reduce the rate of complications and hospitalization expense, shorten the hospital stay.
关键词
食管肿瘤
快速康复外科
围术期
护理
esophageal cancer
fast tract surgery
perioperativeperiod
nursing care
