杨丽青　彭海凌

【摘要】 目的：探究基于快速康复外科（FTS）理念的干预模式应用于经皮肾镜碎石取石术治疗上尿路结石患者的效果。方法：选择2018年3月-2020年2月于笔者所在医院经皮肾镜碎石取石术治疗上尿路结石患者41例，按照隨机数字表法分为两组，对照组（n=20）采用常规护理干预，试验组（n=21）采用FTS护理干预。观察两组患者治疗后的VAS评分、生活质量评分、并发症情况。结果：干预后1、5 d，试验组VAS评分显著低于对照组，差异有统计学意义（P<0.05）;试验组生活质量评分显著高于对照组，差异有统计学意义（P<0.05）;试验组并发症发生率9.52%，显著低于对照组的35.00%，差异有统计学意义（P=0.048）。结论：快速康复外科理念的干预模式应用于经皮肾镜碎石取石术治疗上尿路结石患者，可提高患者生活质量，降低并发症发生率，促进患者康复。

【关键词】 快速康复外科理念 上尿路结石 经皮肾镜碎石取石术

doi：10.14033/j.cnki.cfmr.2020.16.064 文献标识码 B 文章编号 1674-6805（2020）16-0-03

Effect of the Intervention Mode Based on the Concept of FTS in the Treatment of Upper Urinary Tract Calculi by Percutaneous Nephrolithotomy/YANG Liqing， PENG Hailing. //Chinese and Foreign Medical Research， 2020， 18（16）： -158

[Abstract] Objective： To explore the effect of the intervention model based on the concept of fast rehabilitation surgery （FTS） in the treatment of upper urinary tract calculi. Method： From March 2018 to February 2020， 41 patients with upper urinary tract calculi were treated by percutaneous nephrolithotomy in our hospital. They were divided into two groups according to the random number table. The control group （n=20） received routine nursing intervention， and the experimental group （n=21） used FTS nursing intervention. The VAS score， quality of life score and complications of the two groups were observed. Result： After intervention for 1 and 5 days， the VAS score of the experimental group were significantly lower than those of the control group （P<0.05）. And the quality of life score of the experimental group was significantly higher than that of the control group （P<0.05）. The incidence of complications in the experimental group was 9.52%， which was significantly lower than 35.00% in the control group （P=0.048）. Conclusion： The intervention mode based on the concept of rapid rehabilitation surgery applied in the treatment of upper urinary tract stone patients by percutaneous nephrolithotomy， can improve the quality of life， reduce the complications rate and promote the recovery of patients.

[Key words] Fast rehabilitation surgery concept Upper urinary calculi Percutaneous nephrolithotomy

First-authors address： Womens Health and Family Planning Service Center of Liannan Yao Autonomous County， Liannan 513300， China

上尿路结石主要临床治疗手段是经皮肾镜碎石取石术，但多数患者缺乏术后针对性护理，易导致术后出血、切口感染等并发症，影响疾病治愈和降低生活质量。研究显示快速康复外科理念（fast-track surgery，FTS）在输尿管软镜碎石术围手术期护理中效果显著，能降低并发症发生率，缩短住院时间[1]。为探究FTS理念应用于经皮肾镜碎石取石术治疗上尿路结石患者的效果，选取2018年3月-2020年2月于笔者所在医院经皮肾镜碎石取石术治疗上尿路结石患者行FTS理念的护理干预，结果如下。