楊麗青　彭海凌

【摘要】 目的：探究基于快速康復(fù)外科（FTS）理念的干預(yù)模式應(yīng)用于經(jīng)皮腎鏡碎石取石術(shù)治療上尿路結(jié)石患者的效果。方法：選擇2018年3月-2020年2月于筆者所在醫(yī)院經(jīng)皮腎鏡碎石取石術(shù)治療上尿路結(jié)石患者41例，按照隨機(jī)數(shù)字表法分為兩組，對照組（n=20）采用常規(guī)護(hù)理干預(yù)，試驗(yàn)組（n=21）采用FTS護(hù)理干預(yù)。觀察兩組患者治療后的VAS評分、生活質(zhì)量評分、并發(fā)癥情況。結(jié)果：干預(yù)后1、5 d，試驗(yàn)組VAS評分顯著低于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;試驗(yàn)組生活質(zhì)量評分顯著高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;試驗(yàn)組并發(fā)癥發(fā)生率9.52%，顯著低于對照組的35.00%，差異有統(tǒng)計(jì)學(xué)意義（P=0.048）。結(jié)論：快速康復(fù)外科理念的干預(yù)模式應(yīng)用于經(jīng)皮腎鏡碎石取石術(shù)治療上尿路結(jié)石患者，可提高患者生活質(zhì)量，降低并發(fā)癥發(fā)生率，促進(jìn)患者康復(fù)。

【關(guān)鍵詞】 快速康復(fù)外科理念 上尿路結(jié)石 經(jīng)皮腎鏡碎石取石術(shù)

doi：10.14033/j.cnki.cfmr.2020.16.064 文獻(xiàn)標(biāo)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(jié)石主要臨床治療手段是經(jīng)皮腎鏡碎石取石術(shù)，但多數(shù)患者缺乏術(shù)后針對性護(hù)理，易導(dǎo)致術(shù)后出血、切口感染等并發(fā)癥，影響疾病治愈和降低生活質(zhì)量。研究顯示快速康復(fù)外科理念（fast-track surgery，F(xiàn)TS）在輸尿管軟鏡碎石術(shù)圍手術(shù)期護(hù)理中效果顯著，能降低并發(fā)癥發(fā)生率，縮短住院時(shí)間[1]。為探究FTS理念應(yīng)用于經(jīng)皮腎鏡碎石取石術(shù)治療上尿路結(jié)石患者的效果，選取2018年3月-2020年2月于筆者所在醫(yī)院經(jīng)皮腎鏡碎石取石術(shù)治療上尿路結(jié)石患者行FTS理念的護(hù)理干預(yù)，結(jié)果如下。