摘要
目的:探讨快速康复护理对90例腹腔镜下直肠癌切除术患者的影响及临床效果。方法:回顾性分析我院住院治疗的90例腹腔镜下直肠癌切除术的患者,根据护理方式不同分为两组,围手术期选择快速康复护理的为研究组50例,选择普通护理的为对照组40例,评估两组患者术后肛门排气时间、进食时间、术后排便时间、术后并发症发生率及住院时间等情况的影响。结果:患者术后肛门排气时间、进食时间、术后排便时间、术后并发症发生率及住院时间研究组分别为(33.6±3.3)h、(8.1±3.9)h、(45.7±3.8)h、6%(3/50)、(7.5±1.9)d;对照组分别为(48.6±3.7)h、(55.8±10.2)h、(72.5±3.4)h、17.5%(7/40)、(11.8±4.1)d;两组数据比较差别均有统计学意义(P<0.05)。结论:通过快速康复护理,有效控制直肠癌手术患者的围术期的病理、生理变化,减轻患者痛苦,减少并发症发生率、缩短住院时间、促进患者术后康复,值得临床推广应用。
Objective： To investigate the 90 cases of laparoscopic resection for rectal cancer patients and clinical effects of rapid rehabilitation care. Methods： A retrospective analysis of our hospital, 90 cases of laparoscopic resection for rectal cancer patients,divided into two groups according to nursing, perioperative rapid rehabilitation care for the study group of 50 cases, choose ordinary care as the control group of 40 patients, assessment of two groups of patients flatus, time of eating, after defecation time, postoperative complication rate and hospital stay situation. Results：The postoper- ative flatus, time of eating, after defecation time, postoperative complication rate and hospital stay group（33. 6±3. 3）h, （8.1±3.9）h, （45.7±3.8）h,6%（3/50）,（7. 5±1.9）d the control group （48. 6±3. 7）h, （55.8±10. 2）h,（72. 5±3. 4） h, 17. 5%（7/40）, （11. 8±4. 1）d;the difference of two sets of data were statistically significant （P〈0. 05）. Conclusion： The conclusion by the rapid rehabilitation care, effective control of rectal cancer surgery patients during the perloperative period, pathological and physiological changes, and alleviate the suffering of patients, to reduce the incidence of complications, shorter hospital stay, and promote the rehabilitation of patients, and worthy of clinical application.
出处
《医学理论与实践》
2012年第15期1832-1833,1838,共3页
The Journal of Medical Theory and Practice
