CAJ | 학술논문

目的：探讨快速康复外科理念在腹腔镜下脾切除术围手术期的护理方法。方法对72例肝硬化门脉高压症合并脾功能亢进的患者施行电视腹腔镜下脾切除术，利用快速康复外科理念对患者进行健康教育、镇痛、保温、输液控制、减少应激，早期进食、早期活动等，以促进患者的早日康复。结果72例患者术后切口疼痛减轻，愈合速度快，住院费用降低，均提前康复出院。结论快速康复外科用于腹腔镜下脾切除术患者围手术期的护理有效。
목적：탐토쾌속강복외과이념재복강경하비절제술위수술기적호리방법。방법대72례간경화문맥고압증합병비공능항진적환자시행전시복강경하비절제술，이용쾌속강복외과이념대환자진행건강교육、진통、보온、수액공제、감소응격，조기진식、조기활동등，이촉진환자적조일강복。결과72례환자술후절구동통감경，유합속도쾌，주원비용강저，균제전강복출원。결론쾌속강복외과용우복강경하비절제술환자위수술기적호리유효。
Aim To explore the nursing methods of fast track surgery in laparoscopic splenectomy peri operation period.Method In 72 patients with liver cirrhosis and portal hypertension with hypersplenism were treated with laparoscopic splenectomy,health education,analgesic,heat preservation,transfusion control,reduce stress on patients by using the concept of rapid rehabil-itation surgery,early feeding,early activity,in order to promote the patient a speedy recovery Result 72 cases of postoperative incision pain relief,faster healing ,reduce hospital costs ,were discharged in advance.Conclusion Fast track surgery used for laparoscopic Splenectomy in patients with perioperative care .