中外医疗2022NO.34China&ForeignMedicalTreatment临床护理DOI：10.16662/j.cnki.1674-0742.2022.34.160快速康复外科理念在早期非小细胞肺癌肺段切除患者围术期护理中的临床价值杨梅琼，郑丽勉，李秀黎福建省泉州市第一医院外科，福建泉州362000［摘要］目的探讨快速康复外科（fasttracksurgery,）理念在早期非小细胞肺癌肺段切除患者围术期护理FTS中的应用效果。方法随机抽选2019年6月—2020年6月于福建省泉州市第一医院行早期非小细胞肺癌肺段切除术治疗患者80例为研究对象，根据护理方法进行分组，对照组（n=40）采取常规围术期护理；观察组（n=40）患者在常规护理基础上联合快速康复外科理念制订干预计划，比较两组患者的护理效果。结果观察组术后肛门排气、排便、下床活动及住院时间、住院费用均低于对照组，差异有统计学意义（t=15.807、9.285、16.958、7.347、10.230，P<0.05）。观察组术后1、3、5d的疼痛评分均低于对照组，差异有统计学意义（t=8.028、5.738、8.006，P<0.05）。观察组并发症发生率为10.00%，低于对照组的32.50%，差异有统计学意义（χ2=6.050，P<0.05）。结论早期非小细胞肺癌肺段切除患者围术期中应用快速康复外科理念进行护理，不仅能有效减轻其术后疼痛感，降低并发症发生风险，还有利于加快患者术后健康恢复进度，缩短住院时间，减少医疗费用。［关键词］快速康复外科理念；早期非小细胞肺癌肺段切除；围术期护理；应用价值［中图分类号］R734［文献标识码］A［文章编号］1674-0742（2022）12(a)-0160-05ClinicalValueofRapidRehabilitationSurgeryConceptinPerioperativeNursingofPatientswithEarlyNon-smallCellLungCancerwithSegmen⁃talResectionYANGMeiqiong,ZHENGLimian,LIXiuliDepartmentofSurgery,QuanzhouFirstHospital,Quanzhou,FujianProvince,362000China[Abstract]ObjectiveToinvestigatetheeffectofrapidrehabilitationsurgeryinperioperativenursingofpatientswithearlynon-smallcelllungcancerwithsegmentalresection.MethodsEightypatientswithearlynon-smallcelllungcancerundergoingsegmentalresectioninQuanzhouFirstHospitalofFujianProvincefromJune2019toJune2020wererandomlyselectedasthestudysubjects,andweredividedaccordingtothedifferencesofnursingmethods.Amongthem,inthecontrolgroupn=40)(receivedroutineperioperativenursing;intheobservationn=40)develgroup⁃(opedaninterventionplanonthebasisofconventionalnursingcombinedwiththeconceptofrapidrehabilitationsur⁃gery,andcomparedthenursingeffectsoftheResultstwogroups.Postoperativeanalexhaust,defecation,ambulatoryactivities,hospitalstayandhospitalexpensesintheobservationgroupweresignificantlylowerthanthoseinthecon⁃trolgroup,andthedifferencewasstatistically(t=15.807,significant9.285,16.958,7.347,10.230,P<0.05).Thepainscoreoftheobservationgroup1ond,the3dand5dafteroperationwaslowerthanthos