期刊文献+

高龄患者结直肠术后快速康复外科护理与传统护理的临床对照观察 被引量:3

Fast-track surgical nursing with traditional controlled clinical observation of elderly patients with colorectal surgery
下载PDF
导出
摘要 目的:研究快速康复外科护理措施在高龄患者结直肠手术中的应用。方法:选取2010-01~2012-03年龄大于65岁、患有结直肠疾病、并行部分结肠或直肠切除的患者,采用信封抽签法随机分为2组,分别采用FTS护理措施及传统护理方法。比较2组术后首次排气、排便时间,并发症发生率,住院时间和住院总费用。结果:FTS组与对照组的首次排气和排便时间、并发症发生率、住院时间、住院总费用比较差别均有统计学意义(P〈0.05或P〈0.01)。结论:FTS护理可以有效促进高龄患者结直肠术后胃肠道功能恢复,减少总并发症发生率,节省住院总费用。 Objective: To study the application of fast--track surgical (Fis) nursing in elderly patients with colorectal surgery. Methods: A total of 131 patients with colon or rectum resection, colorectal diseases,older than 65 years, from January 2010 to March 2010,have been randomly divided into 2 groups,group 63 cases, control group 68 cases. The purpose is to compare two groups with postoperative exhaust and defecation time, complication rates, length of hospital stay and total cost in hospital. Results. Two groups have statistical difference in the first exhaust and defecation time, complication rates, length of hospital stay, the length of the total cost. Conclusion. Fast- track surgical nursingc an effectively promote the recovery of gastrointestinal function after surgery for elderly patients with colorectal, reduce the incidence of total complications, save the total cost in hospital. Perioperative period is safe and effective in colorectal surgery, significantly lightening stress and improving recovery in patients after colorectal surgery.
出处 《西北国防医学杂志》 CAS 2014年第2期187-190,共4页 Medical Journal of National Defending Forces in Northwest China
关键词 护理学 快速康复外科 高龄 结直肠手术 Nursing science Fast--track surgery Eldly Colorectal surgery
  • 相关文献

参考文献13

  • 1Wilmore DW, Kehlet H. Managementofpatients in fast track surgery[J]. BM J,2001,322(7284) :473. 被引量:1
  • 2Wind J, Polle SW, Fung Kon J in PH, et al. Systematic review of enhanced recovery programmes in colonic sur- gery[J].Br J Surg,2006,93(7) :800. 被引量:1
  • 3Nygren J, Hausel J,Kehlet H,et al. A comparison in five Europeancenters of case mix, clinical management and outcomes following either conventionalorfast--trackperi- operativecareincolorectalsurgery[J]. Clin Nutr, 2005,24 (3) :455-461. 被引量:1
  • 4Schwenk W, Gunther N, Wendling P, et al. "Fast-- track" rehabilitation for elective colonic surgery in Germany- prospectiveobservational data from a multi--centre quali- ty assurance programme[J]. Int J Coloreetal Dis, 2007, 18(4) :227-231. 被引量:1
  • 5万晓红,宋福婷,赵颖英.腹腔镜辅助下直肠癌手术护理体会[J].西北国防医学杂志,2012,33(4):489-490. 被引量:6
  • 6Bucher P,Gervaz P,Soravia C,et al. Randomized clinical trial ofmechanical bowel preparation versus no prepara- tion before elective left--sided colorectal surgery[J]. Br J Surg, 2005,92 (4): 409 -414. 被引量:1
  • 7Zmora O, Mahajna A, BarZakai B, et al. Is mechanical bowel preparationmandatory for left--sided colonic anas tomosis? Results of a prospective randomized trial[J]. Teeh Coloproctol,2006,10 (2) : 131 - 135. 被引量:1
  • 8Zausig YA, Weigand MA, Graf BM. Perioperative fluid management: An analysis of the present situation[J]. Anaesthesist, 2006,55(4) : 371 - 390. 被引量:1
  • 9Lobo DN,Bostock KA,Neal KR,et al. Effect of salt and waterbalanceon recovery of gastrointestinal functionafter electivecolonicresection:a randomizedcontrolled trial[J]. Lancet, 2002,359 (9320) : 1812- 1818. 被引量:1
  • 10Douglas W,Wilmore MD. From Cuthbertson to fast- tracksurgery:70years of progress in reducing stress in- surgicalpatients[J]. Ann Surg, 2002,236 (5) : 643 - 648. 被引量:1

二级参考文献1

共引文献5

同被引文献29

引证文献3

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部