Abstract
Objective To investigate the nursing effect of fast track surgery (FTS) on patients undergoing esophageal hiatal hernia repair combined with fundoplication. Methods From February 2017 to May 2018, 52 cases of esophageal hiatal patients were selected and divided into the study group (n=26) and the control group (n=26). The 2 groups were treated with esophageal hiatal hernia repair combined with fundoplication, and the control group was given routine intervention during the perioperative period. The study group was given the systematic intervention of the concept of FTS and followed up for 3 months. The differences of gastrointestinal function recovery time, acute and chronic pain, complications and stress reaction between the 2 groups were compared. Results The recovery time of bowel sound, the first anus exhaust time, the extraction time of gastric tube, the time of feeding and the cost of hospitalization in the study group after operation were shorter than those of the control group (P<0.01). The average NRS score of the study group and the control group on the 2nd day after operation was (3.05±1.32) and (4.13±1.42), respectively; Compared with the control group, the score of NRS in the study group decreased and the pain degree significantly reduced (P<0.01). The incidence of nausea, vomiting, constipation and retention of urine in the study group were lower than those in the control group (P<0.05 or P<0.01). Conclusion Systematic interventions based on the concept of FTS can accelerate the recovery of gastrointestinal function of esophageal hiatal patients undergoing esophageal hiatal hernia repair combined with fundoplication, reduce the degree of pain and the incidence of postoperative complications. Key words: Esophageal hiatal hernia repair; Fundoplication; Esophageal hiatal; Fast track surgery concept; Pain
Published Version
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