目的 探讨加速康复外科(FTS)理念在泌尿系结石手术中的应用效果观察及对炎症反应的影响。方法 选取2016年1月 至2017年12月在我院泌尿外科进行输尿管软镜钬激光碎石术的患者450例为研究对象，采用随机数表法分为观察组 和对照组各225例，对照组给予常规护理干预，观察组在此基础上给予FTS理念护理干预，观察两组治疗效果及炎症 因子水平。结果 观察组手术时间、导尿管留置时间、术后下床活动时间、住院时间均短于对照组，差异比较有统 计学意义(P＜0.05)；术后1d两组CRP、IL-6均升高，术后3d两组CRP、IL-6降低，且观察组术后1d及术后3dCRP、 IL-6均较对照组低，差异比较有统计学意义(P＜0.05)。结论 FTS理念在泌尿系结石手术中应用效果较好，能缩短 患者下床活动时间及住院时间，且能减少术后炎症反应，值得在临床上推广。

Objective to investigate the effect of the concept of accelerated rehabilitation surgery (FTS) in urinary calculus surgery and its effect on inflammatory response. Methods Selection between January 2016 and December 2017 in our hospital uropoiesis surgical department for soft ureter mirror holmium laser lithotripsy in patients 450 cases as the research object, using the stochastic indicator method is divided into observation group and control group 225 cases, control group given routine nursing intervention, the observation group based on the given concept of FTS nursing intervention, to observe the effect of two groups of treatment and inflammatory factor levels. Results the operation time, catheter indwelling time, postoperative activity time and hospitalization time in the observation group were all shorter than those in the control group, and the differences were statistically significant (P<0.05). CRP and il-6 were increased in the two groups 1 day after surgery, and decreased in the two groups 3 days after surgery. CRP and il-6 were lower in the observation group 1 day after surgery and 3 days after surgery than in the control group, and the difference was statistically significant (P<0.05). Conclusion the application of FTS concept in urinary stone surgery has a good effect, which can shorten the time of patients getting out of bed and staying in hospital, and reduce postoperative inflammatory reaction. Therefore, it is worth promoting in clinical practice.