肾脏部分切除术患者快速康复护理与传统护理的对照研究_West China Medical Journal

Authors：

 谷波 , 谭其玲 , 胡艳 ,  成翼娟

四川大学华西医院第三综合病房（成都 610041）;

Corresponding author：

成翼娟, Email: yijuancheng@163.com

Keywords：

快速康复外科; 肾脏部分切除术; 护理

DOI：

10.7507/1002-0179.20150213

Video：

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目的评估快速康复护理在肾脏部分切除术患者围手术期应用的可行性及安全性。方法将2010年1月－2013年7月收治的144例肾脏部分切除患者，按住院号尾数的奇偶分为快速康复组（75例）和传统护理组（69例），分别实施快速康复措施与传统护理方法，观察比较两组患者围手术期恢复的相关指标，评价快速康复护理的效果。结果快速康复组术后恢复6个指标优于传统护理组（P＜0.05），平均住院时间短于传统护理组（P＜0.05），且两组并发症发生率差异无统计学意义（P＞0.05）。结论运用缩短术前禁食时间、早期下床活动、早期由口进食、早期拔除引流管等快速康复措施是安全有效的，可加速患者术后康复，缩短术后住院时间，值得推广应用。

Citation： 谷波, 谭其玲, 胡艳, 成翼娟. 肾脏部分切除术患者快速康复护理与传统护理的对照研究. West China Medical Journal, 2015, 30(4): 747-749. doi: 10.7507/1002-0179.20150213 Copy

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12.	仲蓓, 王虹, 向爱兰, 等. 结直肠肿瘤病人围术期加速康复外科治疗的护理[J]. 护士进修杂志, 2010:25(17):1591-1592.
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1. 江志伟, 李宁, 黎介寿. 快速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
2. 姜洪池, 孙备, 王刚. 快速康复外科的新理念值得重视[J]. 中华外科杂志, 2007, 45(9):577-579.
3. Ljungqvist O, Soreide E. Preoperative fasting[J]. Br J Surg, 2003, 90(4):400.
4. Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery:a consensus review of clinical care for patients undergoing colonic resection[J]. Clin Nutr, 2005, 24(3):466-477.
5. 苏琳, 孙洁, 祝爱敏, 等. 加速康复外科护理在低位直肠癌保肛手术中的应用[J]. 第四军医大学学报, 2008, 29(18):1715-1717.
6. Correia MI, da Silva RG. The impact of early nutrition on metabolic response and postoperative ileus[J]. Curr Opin Clin Nutr Metab Care, 2004, 7(5):577-583.
7. Henriksen MG, Hansen HV, Hessov I. Early oral nutrition after elective colorectal surgery:influence of balanced analgesia and enforced mobilization[J]. Nutrition, 2002, 18(3):263-267.
8. Henriksen MG, Jensen MB, Hansen HV, et al. Enforced mobilization, early oral feeding, and balanced analgesia improve convalescence after colorectal surgery[J]. Nutrition, 2002, 18(2):147-152.
9. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5):606-617.
10. Chughtai B, Abraham C, Finn D, et al. Fast track open partial nephrectomy:reduced postoperative length of stay with a goal-directed pathway does not compromise outcome[J]. Adv Urol, 2008:507543.
11. 李毅萍, 谢艳华, 郭健凌, 等. 导尿管相关尿路感染的原因分析及对策[J]. 中华医院感染学杂志, 2009, 19(23):3204-3205.
12. 仲蓓, 王虹, 向爱兰, 等. 结直肠肿瘤病人围术期加速康复外科治疗的护理[J]. 护士进修杂志, 2010:25(17):1591-1592.
13. 刘玲, 宁宁, 叶志宏, 等. 后腹腔镜术后导尿管不同拔除时间的对比研究[J]. 护理研究, 2010, 24(1):128-129.
14. Conlon KC, Labow D, Leung D, et al. Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection[J]. Ann Surg, 200, 234(4):487-493.
15. Petrowsky H, Demartins N, Rousson V, et al. Evidence based value of prophylactic drainage in gastrointestinal surgery:a systematic review and mete-analyses[J]. Ann Surg, 2004, 240(6):1074-1084.

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肾脏部分切除术患者快速康复护理与传统护理的对照研究

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