原创《胸腔镜联合快速康复外科护理流程在胸外科围手术期的效果》：本论文为免费优秀的关于围手术期论文范文资料，可用于相关论文写作参考。
[摘 要] 目的 探讨胸腔镜联合快速康复外科（FTS）护理流程在胸外科患者围手术期中的应用效果.方法 方便选择2014年5月—2015年4月该院收治的120例胸腔镜手术患者,随机等分为两组,每组60例,对照组行胸腔镜手术常规围手术期护理,观察组实施FTS护理流程,观察两组护理效果. 结果 观察组胸管留置时间（4.1±1.2）d、首次排气时间（38.7±7.7）h、首次排便时间（80.6±22.6）h、住院时间（5.4±1.4）d均明显短于对照组,而且术后24、48、72 h的VAS评分分别为（4.0±0.7）分、（3.9±0.5）分、（2.7±0.3）分,明显低于对照组,并发症发生率为6.7%,明显低于对照组,观察组整体护理效果优于对照组（P<0.05）. 结论 胸腔镜联合快速康复外科护理流程应用于胸外科围手术期效果理想,值得推广.
[关键词] 胸腔镜；快速康复外科；胸外科手术；围手术期护理
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0168-03
Discussion of the Effect of Thoracoscopic Combined with Fast Track Surgery Nursing Process in The Perioperative Period of Patients in Department of Thoracic Surgery
ZENG Ping
Department of Thoracic Surgery, Qujing First People"s Hospital, Qujing, Yunnan Province, 655000 China
[Abstract] Objective To explore the application effect of thoracoscopy combined with fast track surgery nursing process in perioperative period of patients in Department of thoracic surgery. Methods 120 cases of thoracoscopic surgery patients in our hospital from May 2014 to April 2015 were randomly divided into two groups. The control group received routine perioperative nursing care, and the observation group received fast track surgery nursing process. The nursing effect of the two groups was observed. Results Chest tube indwelling time in the observation group was（4.1±1.2）d, the first exhaust time was （38.7±7.7）h, the first defecation time was（80.6±22.6）h and hospitalization time was（5.4±1.4）d, which were significantly shorter than those of the control group. The postoperative 24, 48, 72 h VAS scores were separately（4±0.7）points,（3.9±0.5）points and（2.7±0.3）points, which were significantly lower than those of the control group. The complication rate was 6.7%, significantly lower than that of the control group. The comprehensive nursing effect in the observation group is better than that in the control group（P<0.05）. Conclusion Thoracoscopic combined with FTS nursing process applied in Department of thoracic surgery perioperative has ideal effect. So it is worth promoting.
[Key words] Thoracoscopy； Fast Track Surgery； Department of thoracic surgery； Perioperative care
快速康复外科（Fast Track Surgery,FTS）是一种全新的疾病康复理念,以循证医学证据为基础采取一系列優质的护理措施以减少或避免手术患者产生生理、心理应激,从而促使患者快速康复[1-4].该院方便选取2014年5月—2015年4月胸外科接收的120例胸腔镜手术患者进行分组研究,以期为FTS理念的推广提供临床资料,现报道如下.
1 资料与方法
1.1 一般资料
方便选择该院胸外科接收的120例胸腔镜手术患者,随机等分为对照组和观察组两组,各60例,其中观察组男34例,女26例,年龄48～75岁,平均（62.1±4.5）岁,手术类型：肺大泡切除修补术37例,肺癌根治术15例,肺叶切除术7例,肺内异物摘除术1例；对照组男37例,女23例,年龄50～77岁,平均（63.2±4.6）岁,手术类型：肺大泡切除术33例,肺癌根治术18例,肺叶切除术6例,肺内异物摘除术3例.两组的一般资料对比差异无统计学意义（P>0.05）.
围手术期论文参考资料：
结论：胸腔镜联合快速康复外科护理流程在胸外科围手术期的效果为关于对写作围手术期论文范文与课题研究的大学硕士、相关本科毕业论文围手术期论文开题报告范文和相关文献综述及职称论文参考文献资料下载有帮助。
