CAJ | 학술논문

目的：探讨加速康复外科理念对老年经尿道等离子前列腺电切（ TURP - K）术患者的影响。方法：将138例 TURP - K术患者随机分为观察组和对照组各69例，对照组采用传统围术期护理方式，观察组采取加速康复外科理念进行护理，比较两组护理效果。结果：两组患者术后住院时间、住院费用、术后3 d 输液量及寒战、膀胱痉挛发生率比较差异有统计学意义（ P ＜0.05）。结论：加速康复外科理念可缩短老年 TURP - K 术患者术后住院时间，降低住院费用，减少术后3 d 输液量及并发症。
목적：탐토가속강복외과이념대노년경뇨도등리자전렬선전절（ TURP - K）술환자적영향。방법：장138례 TURP - K술환자수궤분위관찰조화대조조각69례，대조조채용전통위술기호리방식，관찰조채취가속강복외과이념진행호리，비교량조호리효과。결과：량조환자술후주원시간、주원비용、술후3 d 수액량급한전、방광경련발생솔비교차이유통계학의의（ P ＜0.05）。결론：가속강복외과이념가축단노년 TURP - K 술환자술후주원시간，강저주원비용，감소술후3 d 수액량급병발증。
Objective:To investigate the effect of fast track surgery(FTS)concept on elderly patients undergoing transurethral resection of the prostate(TURP - K). Methods:138 patients who underwent TURP - K were randomly divided into the observation group and the control group(69 cases in each group). The conventional perioperative nursing care was taken in the control group;the nursing care in the light of FTS concept was implemented in the observation group. The effect of nursing care was compared between the two groups. Results:There were statistically significant differences between the two groups in the comparison of postoperative hospitalization time,hospitalization expenses and the infusion volume,the incidence of chills and bladder spasm in the three days after operation(P < 0. 05). Conclusion:A-doption of FTS concept in the nursing care of elderly patients with TURP - K can shorten the hospitalization time,reduce the cost of hospi-talization and decrease the infusion volume and complications in the three days after operation.