摘要
目的探讨快速康复外科（FTS）在急腹症手术中的应用效果。方法采用随机数字表法将商丘市第一人民医院2004年3月至2007年7月收治的160例接受手术的急腹症患者分为两组，每组各80例，分别采用FI＇S新理念治疗（FTS组）及传统方法治疗（对照组）。比较两组患者术后首次排气、排便时间，恶心，呕吐发生率、并发症发生率及住院费用。结果与对照组比较，FTS组患者的术后住院时间明显缩短[（7．4±0．5）d比（10．3±0．7）d]，治疗费用明显减少[（4235±231）元比（5731±211）元]，术后首次排气时间[（1．3±0．4）d比（2．6±0．3）d]、排便时间[（2．1±0．3）d比（3．3±0．5）d]均明显提前，并发症发生率降低；两组患者手术时间[（0．8±0．2）h比（0．9±0．1）h]比较，差异无统计学意义（P〉0．05）。结论在急腹症外科治疗中应用FTS可有效促进术后患者胃肠道功能的恢复，减少并发症的发生率，缩短住院时间，节省住院费用，提高患者对护理的满意度。
Objective To investigate the feasibility of fast-track surgery （FTS） in acute abdomen surgery. Methods A total of 160 patients with acute abdomen received operation in the First Hospital of Shangqiu City from March 2004 to July 2007 were randomized into two groups. Patients in FTS group were treated under the new concept of FTS and the patients in control group were treated with the traditional methods of operation. The time of the first flatus and the defecation, the incidence of nausea, vomit, and complication, and the total cost during hospitalization were compared, respectively. Results Compared with control group,FTS group was associated with shorter postoperative hospital stay [ （7.4 ± 0.5 ） d and （ 10.3 ± 0.7 ） d ], less medical cost [ （4235 ±231 ） yuan and（5731± 211 ） yuan] and intraoperative hemorrhage as well as earlier postoperative passage of flatus, and less rate of overall complications （t = 3.78, 5.78, 2. 45,2.47, 50. 16, 13.20, 5.71 ,respectively; P 〈 0.05 ）. There was no difference in operative duration between the two groups （t = 0.85, P 〉 0.05）. Conclusions The application of FTS in the patients with acute abdomen can accelerate recovery of gastrointestinal function, reduce the rate of complications and total cost during hospitalization, shorten postoperative hospital stay and improve patients＇ satisfaction.
出处
《中华现代护理杂志》
2012年第25期3004-3007,共4页
Chinese Journal of Modern Nursing
关键词
快速康复外科
急腹症
胃肠功能
护理
Fast track surgery
Acute abdomen
Gastrointestinal function
Nursing
