首页|快速康复外科护理在胸腔镜下肺病损切除术后康复中的应用效果分析

快速康复外科护理在胸腔镜下肺病损切除术后康复中的应用效果分析

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目的 探讨快速康复外科护理在胸腔镜下肺病损切除术后康复中的应用效果。方法 以行胸腔镜下肺病损切除术治疗的 76 例患者为研究对象,随机分组法分为对照组(38 例)及观察组(38 例)。对照组行常规术后康复措施,观察组术后行快速康复外科护理。对比两组干预前后应激反应指标[心率(HR)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]水平及并发症发生情况。结果 干预前,两组HR、IL-6、TNF-α、CRP水平无显著差异(P>0。05);干预后,观察组HR(90。33±4。46)次/min较对照组的(81。25±5。93)次/min高,IL-6(25。83±5。41)ng/L、TNF-α(55。89±6。59)ng/L、CRP(4。35±0。75)mg/L均较对照组的(37。29±6。46)ng/L、(70。34±6。82)ng/L、(6。52±0。33)mg/L低(P<0。05)。结论 在胸腔镜下肺病损切除术后对患者实施快速康复外科护理效果良好,患者的应激反应指标变化不明显,并发症较少,值得推广。
Analysis of the application effect of fast-track surgery nursing in the rehabilitation after thoracoscopic resection of pulmonary lesions
Objective To explore the application effect of fast-track surgery nursing in the rehabilitation after thoracoscopic resection of pulmonary lesions.Methods A total of 76 patients who underwent thoracoscopic resection of pulmonary lesions as study subjects were randomly divided into a control group(38 cases)and an observation group(38 cases).The control group received routine postoperative rehabilitation measures,while the observation group received fast-track surgery nursing after surgery.The levels of stress response indexes[heart rate(HR),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)]before and after intervention and complications were compared between the two groups.Results Before intervention,there were no significant differences in the levels of HR,IL-6,TNF-α and CRP between the two groups(P>0.05).After intervention,HR of(90.33±4.46)beats/min in the observation group was higher than(81.25±5.93)beats/min in the control group;the observation group had IL-6 of(25.83±5.41)ng/L,TNF-α of(55.89±6.59)ng/L and CRP of(4.35±0.75)mg/L,which were lower than(37.29±6.46)ng/L,(70.34±6.82)ng/L and(6.52±0.33)mg/L in the control group(P<0.05).Conclusion Fast-track surgery nursing after thoracoscopic resection of pulmonary lesion has good effect,the change of stress response index of patients is not obvious,and the complications are less,which is worth popularizing.

Fast track surgery conceptThoracoscopic resection of pulmonary lesionsStress responseComplications

陈玉

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221300 邳州市中医院普外科

快速康复外科 胸腔镜下肺病损切除术 应激反应 并发症

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(17)