摘要
目的:探讨加速康复外科(FTS)治疗在老年急诊胆囊切除术患者中的应用效果。方法:将54例老年急性胆囊炎患者随机分为FTS组29例和对照组25例。FTS组入院即贯彻FTS理念,术前禁食水6h,不留置胃管和尿管,手术顺利及局部炎症渗出较轻者不留置腹腔引流管,术后早期(12h左右)指导患者进清淡流质和下床活动等。结果:两组患者均治愈,未发生胆漏、黄疸、腹腔出血及腹腔感染等并发症;FT S组开始进食、下床活动、排气、术后输液及住院时间显著短于对照组。结论:FTS应用有利于降低老年患者对手术的应激反应,缩短住院天数,加速康复。
Objective To investigate the Fast Track Surgery( FTS) treatment to remove the effect of nursing in patients with acute cholecystitis in theelderly. Methods 54 cases of elderly patients with acuteholecystitis were randomly divided into FTS group of 29 cases and a control group of 25 cases. FTS group was that implement FTS,preoperative fasting 6h,without indwelling gastric tube and catheter operation smooth and localinflammatory exudatelesser not drainage,postoperative early( around 12h) to guide the patients intobland and ambulation. The control group with normal nursing. Results the twopatients were cured,no bile leakage,jaundice,abdominal bleeding and abdominal infection and other complications; FTS group started eating,ambulation,exhaust,postoperative transfusion and hospitalization time was significantly shorter than the control group. Conclusion FTS theory to reduce the stress reaction of operation in elderly patients,shorten the days of hospitalization,accelerated rehabilitation.
出处
《湖南师范大学学报（医学版）》
2014年第2期68-70,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
急诊
胆囊切除术
FTS
emergency
cholecystectomy
Fast Track Surgery
nursing
