范敏 勾云 蔡小敏

[摘要]目的 探究肺癌患者圍术期护理中联合实施快速外科康复护理和中医特色护理的临床效果。方法 选取2017年5月～2018年1月于我院行胸腔镜手术治疗的88例肺癌患者作为研究对象，采用随机数字表法将患者分为对照组和观察组，每组44例。对照组实施快速外科康复护理，观察组实施快速外科康复护理联合中医特色护理，比较两组患者术后的恢复情况、并发症情况，同时通过视觉模拟评分法（VAS）对两组患者的疼痛程度进行比较。结果 观察组患者的术后并发症发生率显著低于对照组，差异有统计学意义（P<0.05）。观察组患者术后拔管时间、排气时间、下床时间、住院时间、抗菌药物应用时间显著短于对照组，观察组患者术后VAS评分显著低于对照组，差异有统计学意义（P<0.05）。结论 肺癌患者的围术期护理中实施快速康复外科护理联合中医特色护理能够有降低患者术后并发症发生率，缩短住院时间，因此该种联合式护理方案值得在肺癌手术患者中推广。

[关键词]快速康复外科理念；中医特色护理；肺癌；围术期护理

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0167-03

Application of fast track surgery concept combining with special traditional Chinese medicine nursing for lung cancer patients in perioperative period

FAN Min GOU Yun CAI Xiao-min

Department of Cardio thoracic surgery，Zhongshan Hospital of Traditional Chinese Medicine，Guangdong Province，Zhongshan 528400，China

[Abstract]Objective To explore the clinical effect of fast track surgery （FTS） combining with special traditional Chinese medicine （TCM） nursing for lung cancer patients in perioperative period.Methods Eighty-eight patients with lung cancer who underwent video-assisted thoracoscopic surgery in our hospital from May 2017 to January 2018 were selected as the research objects.The patients were divided into control group and observation group by random number table method，with 44 cases in each group.The control group was given fast surgical rehabilitation nursing，while the observation group was given fast surgical rehabilitation nursing combined with special traditional Chinese medicine nursing.The postoperative recovery and complications of the two groups were compared.Meanwhile，the pain degree of the two groups was compared by visual analogue scale（VAS）.Result The incidence of postoperative complications in the observation group was significantly lower than that in the control group，the difference was statistically significant（P<0.05）.The postoperative extubation time，exhaust time，bed time，hospitalization time and antibiotics application time in the observation group were significantly shorter than those in the control group，the VAS score in the observation group was significantly lower than that in the control group，the differences were statistically significant（P<0.05）.Conclusion Application of FTS nursing combining with special TCM nursing for lung cancer patients in perioperative period can reduce postoperative complication occurrence rate and shorten hospital stays，thus it is worthwhile to popularize such combining nursing among lung cancer patients.

[Key words]Fast track surgery （FTS） Concept；Special traditional Chinese medicine （TCM） nursing；Lung cancer；Nursing during perioperative period

肺癌是我国高发恶性肿瘤之一，该疾病患者的健康以及生活质量造成了严重的不良影响，甚至可导致患者死亡。现阶段针对肺癌的主要治疗方法为胸腔镜等微创手术[1]。虽然微创手术对患者造成的机体创伤小，但是仍旧会对患者造成损伤，引发相关并发症，因此要为患者提供有效的护理干预以巩固手术的效果[2]。本次研究择取88例患者参与西医、中西医结合护理效果的对照研究，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年5月～2018年1月我院行胸腔镜手术治疗的88例肺癌患者作为研究对象，所有患者经过影像学、实验室以及病理检查确诊为肺癌，并且均不存在手术禁忌证。采用随机数字表法法将其分为对照组、观察组，每组 44例。……