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目的探讨临床护理路径(CNP)联合快速康复外科(FTS)理念在胃癌患者围术期中的应用效果。方法选取邢台市第三医院2014—2015年收治的胃癌行胃癌根治术患者92例,按照随机数字表法分为对照组(n=43)和观察组(n=49)。对照组患者给予常规健康宣教,观察组患者给予CNP联合FTS理念进行护理,记录比较两组患者术中出血量、手术时间、肛门首次排气时间及住院时间、住院费用、并发症发生情况及再次入院率。结果两组患者术中出血量、手术时间比较,差异无统计学意义(P>0.05),观察组患者肛门首次排气时间、住院时间短于对照组,住院费用低于对照组(P<0.05)。观察组患者并发症发生率及再住院率低于对照组(P<0.05)。结论在胃癌患者胃癌根治术围术期应用CNP结合FTS护理模式效果良好,可缩短肛门首次排气时间及住院时间,促进患者康复,降低并发症发生率及再入院率。
Objective To investigate the clinical effect of clinical nursing pathway (CNP) combined with rapid rehabilitation surgery (FTS) in the perioperative period of patients with gastric cancer. Methods Ninety-two patients with gastric cancer who underwent radical gastrectomy in the Third Hospital of Xingtai City from 2014 to 2015 were divided into control group (n = 43) and observation group (n = 49) according to random number table. Patients in the control group were given routine health education. Patients in the observation group were given CNP combined with FTS concept for nursing. Records of intraoperative blood loss, operation time, first discharge time of anus and hospitalization, hospitalization expenses, complication, Admission rate. Results There was no significant difference in bleeding volume and operation time between the two groups (P> 0.05). The time of the first evacuation of anus in the observation group was shorter than that of the control group, and the hospitalization cost was lower than that of the control group (P <0.05) ). The complication rate and rehospitalization rate in the observation group were lower than those in the control group (P <0.05). Conclusions The application of CNP combined with FTS nursing model in perioperative gastric cancer patients with gastric cancer has a good effect, which can shorten the time of the first evacuation of the anus and the duration of hospitalization, promote the rehabilitation of patients, reduce the incidence of complications and re-admission.