基于加速康复外科理念的护理干预在胃癌根治术患者中的应用

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Abstract Objective To explore the application effect of nursing intervention based on the concept of accelerated rehabilitation surgery(FTS)in patients with gastric cancer radical operation.Methods A total of 106 patients with gastric cancer undergoing radical gastrectomy in Maoming People′s Hospital in Guangdong Province from May 2018 to May 2020 were selected and divided into the control group(53 cases)and the observation group(53 cases)according to random number table method.The control group was given routine nursing,while the observation group was given FTS nursing intervention.The levels of nutritional status(serum albumin [ALB],inflammatory factors C-reactive protein[CRP],interleukin-6 [IL-6])before and after the intervention were compared between the two groups,and the incidence of complications was observed and compared between the two groups.Results The anal exhaust time,first time out of bed time and hospitalization time of the observation group were shorter than those of the control group,the differences were statistically significant(P＜0.05).There was no significant difference in nutritional status between the two groups before intervention(P＞0.05).After intervention,ALB in the observation group was higher than that in the control group,CRP and IL-6 in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion FTS nursing can improve the nutritional status of patients with gastric cancer radical operation,reduce the incidence of complications,so as to promote the rehabilitation of patients.

Key words： Radical gastrectomy for gastric cancer Concept of accelerated rehabilitation surgery Postoperative rehabilitation Nutritional status Prognosis

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LI Hua-juan. Application of nursing intervention based on the concept of accelerated rehabilitation surgery in patients with gastric cancer undergoing radical gastrectomy[J]. 中国当代医药, 2021, 28(13): 256-258-262.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I13/256

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