目的 分析快速康复外科(FTS)理念在膀胱癌(BC)患者根治性全膀胱切除术围术期护理中的应用效果。方法 回顾性收集我院147例BC患者,均接受根治性全膀胱切除术治疗,将2017年1月～2018年10月在围术期接受常规护理干预的73例作为对照组,将2020年1月～2021年10月在围术期接受FTS理念干预的74例作为观察组,比较两组围术期情况、不同时间点(术前1d、术后1h、1d)疼痛程度、并发症。结果 观察组术后首次下床活动、术后首次排气以及住院时间均短于对照组(P＜0.05)；两组不同时间、组间、交互作用下视觉模拟疼痛评分(VAS评分)比较,差异具有统计学意义(P＜0.05),两组术前1d VAS评分比较,无明显差异(P＞0.05)；而与对照组术后1h、1d VAS评分相比,观察组均较低(P＜0.05)；观察组、对照组并发症发生率分别为31.08%、41.10%,组间比较,无明显差异(P＞0.05)。结论 FTS理念应用于BC患者,能减轻疼痛程度,缩短术后首次下床活动、术后首次排气时间,促进术后恢复。

Objective To analyze the effectiveness of the rapid rehabilitation surgery (FTS) concept in the perioperative care of patients with bladder cancer (BC) undergoing radical total cystectomy. Methods A retrospective collection of 147 BC patients in our hospital, all treated with radical total cystectomy, 73 cases who received conventional nursing interventions in the perioperative period from January 2017 to October 2018 as the control group and 74 cases who received FTS concept interventions in the perioperative period from January 2020 to October 2021 as the observation group, Comparison of perioperative conditions, pain levels at different time points (1d preoperatively, 1h and 1d postoperatively) and complications between the two groups.Results In the observation group, the first postoperative bed activity, the first postoperative exhaustion and the hospital stay were shorter than those in the control group (P<0.05); the differences in visual analogue pain scores (VAS scores) between the two groups at different times, between groups and under interaction were statistically significant (P<0.05), and there was no significant difference in the VAS scores between the two groups 1d before surgery (P > 0.05); while compared with the control group 1h and 1d after surgery VAS scores were lower in the observation group compared to the control group (P<0.05); the complication rates were 31.08% and 41.10% in the observation and control groups, respectively, and there was no significant difference between the groups (P>0.05).Conclusion The FTS concept applied to BC patients can reduce the pain level, shorten the operation time, postoperative intravenous rehydration time, reduce the risk of complications, and promote postoperative recovery.