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目的探讨快速康复外科(FTS)护理在腹腔镜胆囊切除手术中的应用效果。方法 68例行腹腔镜胆囊切除手术的患者分为对照组和观察组,各34例。对照组实施常规手术护理,观察组在对照组基础上引入FTS护理理念。观察2组护理满意度以及不良症状发生情况,记录2组术前、术毕时的体温以及气管拔管时间和住院时间。结果观察组护理满意度高于对照组,差异有统计学意义(P<0.05),观察组术前低血糖、口渴饥饿以及术后口渴饥饿发生率低于对照组,差异有统计学意义(P<0.01);观察组术毕时的体温高于对照组,差异有统计学意义(P<0.01);观察组气管拔管时间以及住院时间短于对照组,差异有统计学意义(P<0.05或P<0.01)。结论腹腔镜胆囊切除术的手术护理中引入FTS理念,有利于提高护理质量,对确保手术顺利进行、减少不良反应具有积极意义。
Objective To investigate the effect of rapid rehabilitation surgery (FTS) in laparoscopic cholecystectomy. Methods 68 cases of laparoscopic cholecystectomy patients were divided into control group and observation group, 34 cases each. The control group underwent routine surgical nursing. The observation group was introduced into the FTS nursing concept on the basis of the control group. Two groups of nursing satisfaction and adverse symptoms were observed. Preoperative and postoperative body temperature and tracheal extubation and hospital stay were recorded. Results The nursing satisfaction of the observation group was higher than that of the control group (P <0.05). The incidences of hypoglycemia, thirst, hunger and postoperative thirst, hunger in the observation group were lower than those in the control group, the difference was statistically significant (P <0.01). The body temperature in the observation group was higher than that in the control group (P <0.01), and the time of tracheal extubation and hospital stay in the observation group was shorter than that of the control group (P <0.05 or P <0.01). Conclusions The concept of FTS is introduced into the operative nursing of laparoscopic cholecystectomy, which is beneficial to improve the quality of nursing. It is of positive significance to ensure the smooth operation and reduce the adverse reactions.