快速康复外科理念在HIV合并肺癌患者围手术期护理中的应用效果分析研究 临床医学专业VIP免费

快速康复外科理念在HIV合并肺癌患者围手术期护理中的应用效果摘要目的探讨快速康复外科(fast-tracksurgery,FTS)理念在HIV合并肺癌患者围手术期护理中的应用效果。方法回顾性分析上海市公共卫生临床中心自2011年10月至2018年6月份在胸外科接受手术治疗的34例HIV合并非小细胞肺癌患者，其中16例围手术期传统方法护理的患者为对照组；以2015年11月科室开始实施快速康复护理干预方法的18例患者为研究组。并且将研究组和对照组进行分析比较，主要对病人手术后的出现并发症的概率、下床进行活动的时常手术后病人住院时间、带管时间、术后疼痛情况、对于护理是否满意等。结果通过分析病人手术后肺脏产生感染的概率、术后住院时间、下床活动时间、带管时间、术后疼痛评分、护理满意度均明显低于对照组，差异具有统计学意义(P<0．05)。结论对于HIV合并肺癌患者，在围手术期应用FTS理念可以减少病人手术后产生并发症的概率，帮助病人的恢复速度，避免病人长时间的住院，减缓病人的疼痛感受，提高护理满意度。【关键词】快速康复外科；人类免疫缺陷病毒；高效抗逆转录病毒治疗；肺癌；并发症【中图分类号】R734.2【文献标识码】ATheapplicationeffectoffast-tracksurgeryinperioperativecareforHIV-infectedpatientswithlungcancer【Abstract】Objectives:Toexploretheapplicationeffectoffast-tracksurgery(FTS)inperioperativecareofHIVpatientswithlungcancer.Methods:Aretrospectiveanalysisof34HIVinfectedpatientswithnon-smallcelllungcancerwhounderwentsurgicaltreatmentinthoracicsurgeryfromOctober2011toJune2018inShanghaiPublicHealthClinicalCenter.16patientswithtraditionalperioperativecaremethodsweretakenascontrolgroup,and18patientswithfastrehabilitationcareinterventionmethodsweretakenasstudygroupfromNovember2015.Theincidenceofpostoperativecomplications,thetimeofgettingoutofbed,postoperativehospitalstay,tubetime,postoperativepain,andsatisfactionofnursingwerecomparedbetweenthetwogroups.Results:postoperativecomplications,thetimeofgettingoutofbed,postoperativehospitalstay,tubetime,postoperativepain,andsatisfactionofnursinginthestudygroupwerealllessthanthoseinthecontrolgroup,withsignificantdifference(P<0.05).Conclusion:ForHIVinfectedpatientswithlungcancer,theapplicationofFTSconceptduringperioperativeperiodcanreducetheincidenceofpostoperativecomplications,promoterapidrecoveryofpatients,shortenthelengthofhospitalstay,reducepatientpainandimprovenursingsatisfaction.【keywords】fast-tracksurgery;Humanimmunodeficiencyvirus;highlyactiveantiretroviraltherapy;lungcancer;complications目录1资料与方法.........................................................................................................................................3表1两组一般临床资料比较.................................................................................................................41.2.1术前护理...................................................................................................................................51.2.2术中护理......................................................................................................................................61.2.3术后护理.....................................................................................................................................62.结果...................................................................................................................................................8表2两组患者术后并发症发生率比较.................................................................................................8表4两组患者术后疼痛评分比...