Fast track surgery nursing models accelerate physical rehabilitation in perioperative patients undergoing hepatobiliary surgery.

IF 1.7 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

American journal of translational research Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI:10.62347/CQCF2993

Ting Zhang, Jianhong Xu, Qianjuan Wang, Jiayun Li

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引用次数: 0

Abstract

Objective: To compare the effects between primary hepatic carcinoma (PHC) patients undergoing laparoscopic partial hepatectomy receiving Fast track surgery (FTS) nursing and traditional nursing, aiming to select an effective nursing intervention plan for such patients.

Methods: This study included 84 patients with PHC who underwent laparoscopic partial hepatectomy, randomly divided into an observation group (n42) and a control group (n=42). The observation group received FTS nursing, while the control group received traditional nursing care. Intraoperative and postoperative conditions, serological indicators, and complication rates were compared between the groups.

Results: The observation group showed significantly reduced postoperative drainage tube removal time, anal exhaust time, hospitalization expenses, and length of stay (LOS) compared to the control group (all P<0.05). C-reactive protein (CRP), total bilirubin (Tbil), alanine aminotransferase (ALT), and cholinesterase (ChE) levels in the observation group were notably lower than those in the control group on postoperative days 1, 3, and 5 (all P<0.05). No significant difference was found in postoperative complication rates between the observation (14.29%) and control groups (16.67%) (P>0.05).

Conclusions: Compared with traditional nursing, FTS nursing effectively reduces inflammation and liver function injury in patients undergoing PHC surgery, shortens LOS, lowers hospitalization expenses, and accelerates physical rehabilitation without increasing postoperative complications.

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快速手术护理模式促进肝胆手术围手术期患者的身体康复。

目的：比较原发性肝癌（PHC）腹腔镜肝部分切除术患者采用快速通道手术（Fast track surgery， FTS）护理与传统护理的效果，为该类患者选择有效的护理干预方案。方法：84例行腹腔镜肝部分切除术的PHC患者随机分为观察组（n42）和对照组（n=42）。观察组采用FTS护理，对照组采用传统护理。比较两组患者术中、术后情况、血清学指标及并发症发生率。结果：观察组患者术后拔管时间、肛门排气时间、住院费用、住院时间（LOS）均较对照组显著减少（p < 0.05）。结论：与传统护理相比，FTS护理可有效减少PHC手术患者的炎症和肝功能损伤，缩短住院时间，降低住院费用，加速肢体康复，且不增加术后并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL

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