摘要
目的研究快速康复外科(FTS)理念在无张力腹股沟疝修补术中的开展价值。方法选取本院收治的82例无张力腹股沟疝修补术患者,采用红蓝双色球法将其分为两组各41例,对照组采用常规护理,观察组在此基础上采用FTS理念实施护理,比较两组的术后恢复情况、疼痛情况和并发症发生情况。结果观察组下床活动时间(4.43±0.65)h、排气时间(5.45±1.02)h、住院时间(7.28±2.17)d短于对照组的(7.26±0.84)h、(8.69±1.73)h、(9.35±1.87)d(P <0.05);观察组术后2 h、8 h、12 h和24 h的疼痛评分低于对照组(P <0.05);观察组并发症发生率(12.20%)低于对照组(31.71%)(P <0.05)。结论在无张力腹股沟疝修补术患者护理中应用FTS理念能够有效减少并发症,减轻术后疼痛感,促进胃肠功能恢复,促使患者早日康复出院。
Objective To study the value of rapid rehabilitation surgery(FTS) in the development of patients with tension-free inguinal hernia repair. Methods 82 patients with tension-free inguinal hernia repair were enrolled in this study. They were divided into two groups by 41 cases using red and blue two-color ball method. The control group used routine nursing. The observation group used the FTS concept to implement nursing. Postoperative recovery, pain, and complications were compared between the two groups. Results The time of bed-out activity(4.43±0.65) h, exhaust time(5.45±1.02) h, hospitalization time(7.28±2.17) d was shorter than that of the control group(7.26±0.84) h,(8.69±1.73) h,(9.35±1.87) d(P<0.05);the pain scores of the observation group at 2 h, 8 h, 12 h and 24 h after operation were significantly lower than those of the control group(P<0.05);the incidence of complications in the observation group was significantly higher(12.20%). It was lower than the control group(31.71%)(P<0.05). Conclusion The application of FTS concept in the nursing of patients with tension-free inguinal hernia repair can effectively reduce complications, reduce postoperative pain, and promote the patient’s early recovery and discharge.
作者
秦萍
QIN Ping(Department of Nursing,The First People's Hospital of Xiangyang Affiliated to Hubei Medical College,Xiangyang Hubei 441000,China)
出处
《中国继续医学教育》
2020年第9期176-178,共3页
China Continuing Medical Education
关键词
FTS
无张力腹股沟疝修补术
并发症
疼痛
安全性
胃肠功能
FTS
tension-free inguinal hernia repair
complications
pain
safety
gastrointestinal function