基于FTS理念的干預模式應用于經皮腎鏡碎石取石術治療上尿路結石患者的效果分析

楊麗青　彭海凌

【摘要】 目的：探究基于快速康復外科（FTS）理念的干預模式應用于經皮腎鏡碎石取石術治療上尿路結石患者的效果。方法：選擇2018年3月-2020年2月于筆者所在醫院經皮腎鏡碎石取石術治療上尿路結石患者41例，按照隨機數字表法分為兩組，對照組（n=20）采用常規護理干預，試驗組（n=21）采用FTS護理干預。觀察兩組患者治療后的VAS評分、生活質量評分、并發癥情況。結果：干預后1、5 d，試驗組VAS評分顯著低于對照組，差異有統計學意義（P<0.05）;試驗組生活質量評分顯著高于對照組，差異有統計學意義（P<0.05）;試驗組并發癥發生率9.52%，顯著低于對照組的35.00%，差異有統計學意義（P=0.048）。結論：快速康復外科理念的干預模式應用于經皮腎鏡碎石取石術治療上尿路結石患者，可提高患者生活質量，降低并發癥發生率，促進患者康復。

【關鍵詞】 快速康復外科理念 上尿路結石 經皮腎鏡碎石取石術

doi：10.14033/j.cnki.cfmr.2020.16.064 文獻標識碼 B 文章編號 1674-6805（2020）16-0-03

Effect of the Intervention Mode Based on the Concept of FTS in the Treatment of Upper Urinary Tract Calculi by Percutaneous Nephrolithotomy/YANG Liqing， PENG Hailing. //Chinese and Foreign Medical Research， 2020， 18（16）： -158

[Abstract] Objective： To explore the effect of the intervention model based on the concept of fast rehabilitation surgery （FTS） in the treatment of upper urinary tract calculi. Method： From March 2018 to February 2020， 41 patients with upper urinary tract calculi were treated by percutaneous nephrolithotomy in our hospital. They were divided into two groups according to the random number table. The control group （n=20） received routine nursing intervention， and the experimental group （n=21） used FTS nursing intervention. The VAS score， quality of life score and complications of the two groups were observed. Result： After intervention for 1 and 5 days， the VAS score of the experimental group were significantly lower than those of the control group （P<0.05）. And the quality of life score of the experimental group was significantly higher than that of the control group （P<0.05）. The incidence of complications in the experimental group was 9.52%， which was significantly lower than 35.00% in the control group （P=0.048）. Conclusion： The intervention mode based on the concept of rapid rehabilitation surgery applied in the treatment of upper urinary tract stone patients by percutaneous nephrolithotomy， can improve the quality of life， reduce the complications rate and promote the recovery of patients.

[Key words] Fast rehabilitation surgery concept Upper urinary calculi Percutaneous nephrolithotomy

First-authors address： Womens Health and Family Planning Service Center of Liannan Yao Autonomous County， Liannan 513300， China

上尿路結石主要臨床治療手段是經皮腎鏡碎石取石術，但多數患者缺乏術后針對性護理，易導致術后出血、切口感染等并發癥，影響疾病治愈和降低生活質量。研究顯示快速康復外科理念（fast-track surgery，FTS）在輸尿管軟鏡碎石術圍手術期護理中效果顯著，能降低并發癥發生率，縮短住院時間[1]。為探究FTS理念應用于經皮腎鏡碎石取石術治療上尿路結石患者的效果，選取2018年3月-2020年2月于筆者所在醫院經皮腎鏡碎石取石術治療上尿路結石患者行FTS理念的護理干預，結果如下。