Effect of fast-track surgery nursing on postoperative rehabilitation of patients undergoing laparoscopic radical gastrectomy

摘要

Objective: To explore the effect of fast-track surgery nursing on postoperative recovery, pain and cornplications of patients undergoing laparoscopic radical gastrectomy. Methods: A total of 146 gastric cancer patients undergoing laparoscopic radical gastrectomy were randomly divided into two groups, the control group which included 73 cases received routine nursing, and the rest 73 cases treated with fast-track surgery nursing were assigned to the observation group. The postoperative recovery indicators, total cost of treatment, postoperative pain score and the prevalence of complications were compared between the two groups. Results: The time of first ambulation, first anal exhaust and defecation, indwelling time of gastric tube and urinary catheter, and the time of hospitalization after operation in the observation group were shorter than those of the control group (P<0.01). Besides, the observation group had a significantly lower total cost of treatment (P<0.01). In addition, the postoperative visual analogue score (VAS) of patients 3 days after operation in the observation group was significantly lower than that of the control group (P<0.05), and so was the case with the incidence of complications of anastomotic fistula, postoperative gastroparesis and adhesive intestinal obstruction (P<0.05). Conclusion: Fast-track surgery nursing can effectively promote the postoperative recovery of patients undergoing laparoscopic radical gastrectomy, alleviate postoperative pain, and effectively prevent postoperative complications. It is safe, reliable and worthy of clinical application.