快速康复外科理念在护理乳腺癌改良根治围手术期患者中的应用

目的:探讨快速康复外科理念在护理乳腺癌改良根治围手术期患者中的应用效果。方法:将2014年1-12月收治的35例乳腺癌患者纳为对照组；2015年1-12月收治的35例患者纳为观察组。对照组采用传统的常规护理，观察组在常规护理的基础上，将快速康复理念应用到护理方案中，比较2组患者术后并发症的发生情况及患侧上肢功能恢复情况。结果:观察组与对照组皮下积液、皮瓣坏死和上肢水肿的发生率差异均无统计学意义（P>0.05），观察组术后患肢功能恢复明显优于对照组（P<0.01）,而住院时间显著短于对照组（P<0.01）。结论:快速康复外科护理措施应用于乳腺癌改良根治术能促进患肢的功能恢复，并且未增加并发症的发生率。

Application of fast track surgery in nursing the perioperative patients treated with the modified radical mastectomy

Objective: To investigate the application effects of fast track surgery(FTS) in nursing the perioperative patients treated with the modified radical mastectomy.Methods: Thirty-five patients in 2014 and 35 patients in 2015 were divided into the control group and observation group,respectively.The control group were nursed with routine care,and the observation group were additionally nursed with FTS based on the control group.The incidence of postoperative complications and recovery of the arm function between two groups were compared.Results: The differences of the incidences of the subcutaneous hydrops,flap necrosis and upper limb edema between two groups were not statistical significant(P>0.05).The function recovery of the injury limb in observation group was significantly better than that in control group(P<0.01).The hospitalization time in observation group was significantly shorter than that in control group(P<0.01).Conclusions: The FTS concept can improve the recovery of arm function in patients treated with the modified radical mastectomy,and do not increase the incidence of complication.