腎臟部分切除術患者快速康復護理與傳統護理的對照研究_West China Medical Journal

Authors：

 谷波 , 譚其玲 , 胡艷 ,  成翼娟

四川大學華西醫院第三綜合病房（成都 610041）;

Corresponding?author：

成翼娟, Email: yijuancheng@163.com

Keywords：

快速康復外科; 腎臟部分切除術; 護理

DOI：

10.7507/1002-0179.20150213

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的評估快速康復護理在腎臟部分切除術患者圍手術期應用的可行性及安全性。方法將2010年1月－2013年7月收治的144例腎臟部分切除患者，按住院號尾數的奇偶分為快速康復組（75例）和傳統護理組（69例），分別實施快速康復措施與傳統護理方法，觀察比較兩組患者圍手術期恢復的相關指標，評價快速康復護理的效果。結果快速康復組術后恢復6個指標優于傳統護理組（P＜0.05），平均住院時間短于傳統護理組（P＜0.05），且兩組并發癥發生率差異無統計學意義（P＞0.05）。結論運用縮短術前禁食時間、早期下床活動、早期由口進食、早期拔除引流管等快速康復措施是安全有效的，可加速患者術后康復，縮短術后住院時間，值得推廣應用。

Citation： 谷波, 譚其玲, 胡艷, 成翼娟. 腎臟部分切除術患者快速康復護理與傳統護理的對照研究. West China Medical Journal, 2015, 30(4): 747-749. doi: 10.7507/1002-0179.20150213 Copy

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11.	李毅萍, 謝艷華, 郭健凌, 等. 導尿管相關尿路感染的原因分析及對策[J]. 中華醫院感染學雜志, 2009, 19(23):3204-3205.
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13.	劉玲, 寧寧, 葉志宏, 等. 后腹腔鏡術后導尿管不同拔除時間的對比研究[J]. 護理研究, 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.
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1. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
2. 姜洪池, 孫備, 王剛. 快速康復外科的新理念值得重視[J]. 中華外科雜志, 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. 蘇琳, 孫潔, 祝愛敏, 等. 加速康復外科護理在低位直腸癌保肛手術中的應用[J]. 第四軍醫大學學報, 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, 謝艷華, 郭健凌, 等. 導尿管相關尿路感染的原因分析及對策[J]. 中華醫院感染學雜志, 2009, 19(23):3204-3205.
12. 仲蓓, 王虹, 向愛蘭, 等. 結直腸腫瘤病人圍術期加速康復外科治療的護理[J]. 護士進修雜志, 2010:25(17):1591-1592.
13. 劉玲, 寧寧, 葉志宏, 等. 后腹腔鏡術后導尿管不同拔除時間的對比研究[J]. 護理研究, 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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腎臟部分切除術患者快速康復護理與傳統護理的對照研究

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