CAJ | 학술논문

目的探讨快速康复外科(FTS)理念在神经内镜手术患者中应用的效果.方法将鼻窦镜下行经鼻蝶垂体瘤切除手术的198例患者作为研究对象,并随机分为观察组100例和对照组98例.其中观察组采用快速康复理念,对照组采用传统方法进行围手术期护理,比较两组患者术前肠道准备方法对患者心理状况、术后肠道功能恢复时间、镇痛效果、手术并发症的发生率、术后营养状态及术后住院天数等多项指标的影响.结果改变传统肠道准备方式后,观察组患者术前焦虑水平明显低于对照组,两组比较差异有统计学意义(P<0.01).应用快速康复外科理念使观察组患者在术后肠鸣音恢复时间、肛门排气时间明显缩短,有效降低术后疼痛,缩短了术后平均住院时间(P<0.01).结论运用FTS理念指导神经内镜手术患者围手术期护理,可以减轻患者术前焦虑水平,增加其舒适度,改善营养状态,促进术后患者早日康复.
목적 탐토쾌속강복외과(FTS)이념재신경내경수술환자중응용적효과.방법 장비두경하행경비접수체류절제수술적198례환자작위연구대상,병수궤분위관찰조100례화대조조98례.기중관찰조채용쾌속강복이념,대조조채용전통방법진행위수술기호리,비교량조환자술전장도준비방법대환자심리상황、술후장도공능회복시간、진통효과、수술병발증적발생솔、술후영양상태급술후주원천수등다항지표적영향.결과 개변전통장도준비방식후,관찰조환자술전초필수평명현저우대조조,량조비교차이유통계학의의(P<0.01).응용쾌속강복외과이념사관찰조환자재술후장명음회복시간、항문배기시간명현축단,유효강저술후동통,축단료술후평균주원시간(P<0.01).결론 운용FTS이념지도신경내경수술환자위수술기호리,가이감경환자술전초필수평,증가기서괄도,개선영양상태,촉진술후환자조일강복.
Objective To evaluate the effect of the application of fast track surgery theory, in endoscopic neurosurgery. Methods 198 patients of neuroendoscopic endonasal tranasphenoidal surgery for pituitary edenomas were divided into the experiment group and the control. The fast track surgery theory was applied in the experiment group while traditional methods in the control group. Psychological effect of preoperative bowel preparation, the postoperative recovery time of bowel function, analgesia effect, incidence of complications, postoperative nutrional state and hospital day were compared between the two groups. Results The experiment groups were less anxious than the control(P <0. 01 ). The postoperative recovery time of bowel function and Postoperative hospital day wore fewer than the control ( P < 0. 01). Postoperative pain was eased effectively. Condusions The fast track sugery theory can be applied in endoscopic neurosurgery to reduce the level of preoperative anxiety,increasing patient's comfort and improve the nutritional status,help recovery of patients.