作　　者： (赵志菲）; (高苗莉）; (陶莎）; (赵宝琴）; (董红雪）; (王振华）;

机构地区： 中国人民解放军海军总医院胸外科,北京100048

出　　处： 《中华肺部疾病杂志（电子版）》 2017年第4期457-460,共4页

摘　　要： 目的探讨单孔胸腔镜肺叶切除患者围术期应用快速康复外科理念对其临床效果的影响。方法将124例单孔胸腔镜肺叶切除术治疗的患者随机分为观察组(FTS)和对照组,各62例;对照组围术期采用常规护理,观察组(FTS)采取快速康复外科护理措施,记录并比较两组胸腔闭式引流管带管时间、肠鸣音恢复时间及住院时间;术后4、12、24、48 h时间节点的疼痛(VAS)程度;比较术后第2天和第5天的静息SaO_2。结果观察组胸腔闭式引流管带管时间、肠鸣音恢复时间及住院时间少于对照组(P<0.05),其4、24、48 h时间节点的疼痛(VAS)程度低于对照组(P<0.05),第2天静息SaO_2观察组高于对照组(P<0.05),但第5天与对照组比较无差异(P>0.05)。结论快速康复外科理念用于单孔胸腔镜肺叶切除术具有良好的临床效果,可以加快患者术后恢复、减轻术后疼痛、缩短住院时间,值得临床推广应用。 Objective Discusses the effect of Fast-Track Surgery Concept application inperioperative nursing patients with Single-Hole thoraeoseope lung resection. Method 124 cases of single-hole thoracoscope lung resection patients, on the basis of different nursing methods were randomly divided into observation group （FTS） and the control group （n = 62）. The control perioperative by routine nursing care and observation group （FTS） with Fast-Track Surgery nursing measures. Records and compare the two sets of the tube time of the thoracic cavity closed drainage tube, the recovery time of bowel sounds and hospital stay. Also records and compares the postoperative 4 h, 12 h, 24 h, and 48 h time node degree of pain （VAS）. Comparison of 2 d and 5 d after resting SaO2. Results Observation group the tube time of the thoracic cavity closed drainage tube, the recovery time of bowel sounds and hospital stay is less than the control group （P〈0.05）. The 4 h, 24 h, 48 h time node degree of pain （VAS） is lower than the control group （P〈0.05）. 2 d resting SaO2 observation group is higher than the control group （P 〈 0.05 ）, but the 5 d with the control group compared with no difference （P〉0.05）. Conclusion Fast-Track Surgery concept for single-hole thoracoscope lung resection has good clinical effect. It can speed up the patients with postoperative recovery and reduce postoperative pain, shorter hospital stay and it worthy of clinical popularization and application.

关 键 词： 快速康复外科 单孔胸腔镜 肺叶切术 护理 围术期