刘晓芹 肖华兰 欧阳玉莲

[摘要]目的 探討快速康复外科（FTS）理念在腹腔镜胆囊切除术（LC）患者围术期的应用效果。方法 选取2018年4月～2019年4月我院收治的56例LC患者作为研究对象，按照随机数字表法分为观察组（n=28）和对照组（n=28）。对照组采用常规护理，观察组采用FTS理念，比较两组的各项临床指标、并发症总发生率与生活质量（QOL）评分。结果 观察组禁食、排气、下床及住院时间短于对照组，差异均有统计学意义（P<0.05）;观察组并发症总发生率低于对照组，差异有统计学意义（P<0.05）;观察组生理功能、物质生活、社会功能及心理功能评分高于对照组，差异均有统计学意义（P<0.05）。结论 对LC患者围术期开展FTS理念护理，能缩短其禁食、排气、下床与住院时间，并减少并发症的发生，有利于患者生活质量的提高，值得临床推广。

[关键词]腹腔镜胆囊切除术;快速康复外科理念;围术期;生活质量;并发症

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）3（c）-0205-03

Effect of concept of rapid rehabilitation surgery on perioperative period of patients undergoing laparoscopic cholecystectom

LIU Xiao-qin   XIAO Hua-lan   OUYANG Yu-lian

Department of Surgery， Shanghai Oriental Hospital Ji′an Hospital， Jiangxi Province， Ji′an   343000， China

[Abstract] Objective To explore the effect of rapid rehabilitation of surgical （FTS） concept in the perioperative period of patients with laparoscopic cholecystectomy （LC）. Methods A total of 56 patients with LC in our hospital from April 2018 to April 2019 were selected as the subjects of study. According to the random number table method， they were divided into observation group （n=28） and the control group （n=28）. The control group was given routine nursing， the observation group was given FTS concept. The clinical indexes， total incidence of complications and quality of life （QOL） score were compared between the two groups. Results The fasting time， exhaust time， bedtime and hospitalization time of the observation group were shorter than those of the control group， and the differences were statistically significant （P<0.05）. The total incidence of complications in the observation group was lower than that of the control group， the difference was statistically significant （P<0.05）. The physiological function， material life， social function and psychological function scores of the observation group were higher than those of the control group， the differences were statistically significant （P<0.05）. Conclusion In perioperative period， the patients with LC are carried out the nursing work based on the FTS nursing concept， it can shorten fasting time， exhaust time， bed stay and stay， reduce the incidence of complications， is beneficial to the improvement of the quality of the patient′s life， it is worth popularizing.

[Key words] Aparoscopic cholecystectomy; Concept of rapid rehabilitation surgery; Perioperative period; Quality of life; Complications

在医疗技术发展的今天，有学者提出由生理、心理共同作用产生的混合性疾病，可通过科学的指导理念与针对性护理措施有效治疗[1]。腹腔镜胆囊切除术（LC）作为普外科的常见术式，安全性、微创性特点较显著，不仅使患者的临床效果得到大幅提高，还为其预后创造了良好的条件[2]。快速康复外科（FTS）最早由丹麦外科医师Kehlet提出，在欧美国家最早开展，随着微创外科、麻醉方法、护理技术的进步，已逐渐在外科学领域得到广泛认同。使LC患者的治疗效果得到有效提升，在围术期给予FTS理念，使患者实现快速康复。本研究选取我院LC治疗的56例患者为研究对象，探讨FTS理念在LC患者围术期护理中的临床效果，现报道如下。

1资料与方法

1.1一般资料

选取2018年4月～2019年4月我院收治的56例LC患者。纳入标准：①经多方讨论决定LC;②患者在知情、自愿的前提下签署同意书;③本研究已通过我院医学伦理委员会的审核。……