摘要
目的研究集束化护理对腹腔镜胃癌根治术患者术后胃肠及免疫功能的影响。方法选择2016年1月—2019年3月本院接诊的腹腔镜胃癌根治术患者70例作为研究对象,采用随机数表法将患者分为观察组和对照组两组,每组各35例。对照组给予常规护理干预,观察组在对照组的基础上采用集束化护理。对比治疗后患者的肠鸣音恢复时间、肛门排气时间、首次排便时间、胃泌素(GAS)、胃动素(MTL)、血管活性肠肽水平(VIP)、CD4^+、CD8^+、CD4^+/CD8^+水平变化情况及并发症发生情况。结果治疗后,观察组患者肠鸣音恢复时间、肛门排气时间及首次排便时间均短于对照组,差异具有统计学意义(P<0.05);治疗前,两组患者GAS、MTL、VIP对比,差异无统计学意义(P>0.05);治疗后,患者GAS、MTL下降,观察组低于对照组,患者VIP上升,观察组高于对照组,差异具有统计学意义(P<0.05);治疗前,两组患者CD4^+、CD8^+、CD4^+/CD8^+对比,差异无统计学意义(P>0.05);治疗后,患者CD4^+、CD8^+、CD4^+/CD8^+上升,观察组高于对照组,差异具有统计学意义(P<0.05);两组患者并发症总发生发生率分别为8.57%、42.86%,观察组低于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜胃癌根治术患者术后使用集束化护理效果显著,可有效改善患者胃肠及免疫功能,减少术后并发症。
Objective To study the influence of cluster care on gastrointestinal and immune function of patients underwent laparoscopic radical gastrectomy for gastric cancer.Methods 70 cases of patients received laparoscopic radical gastrectomy in our hospital from January 2016 to March 2019 were selected as research objects, the patients were divided into two groups according to random number table method, each group of 35 people, the control group received routine nursing intervention, the observation group adopted cluster nursing on the basis of the control group. After treatment, the change of bowel sound recovery time, anal exhaust time, first bowel movement time, gastrin(GAS), motility(MTL), vasoactive intestinal peptide level(VIP), CD4^+, CD8^+, CD4^+/CD8^+ levels and the occurrence of complications were compared.Results After treatment, the recovery time of bowel sound, anal exhaust time and first defecation time in the observation group were all lower than those in the control group(P<0.05). Before treatment, GAS, MTL and VIP were compared between the two groups, showing no statistical significance(P>0.05). After treatment, GAS and MTL of patients decreased, while the observation group was lower than the control group;the VIP of patients increased, and the observation group was higher than the control group(P<0.05). Before treatment, there were no statistically significant differences in CD4^+, CD8^+, CD4^+/CD8^+ between the two groups(P>0.05). After treatment, patients’ CD4^+, CD8^+, CD4^+/CD8^+ increased, and the observation group was higher than the control group(P<0.05). The total incidence of complications in the two groups was 8.57% and 42.86%, respectively, observation group was lower than the control group(P<0.05). Conclusions After laparoscopic radical gastrectomy for gastric cancer patients the applying effect of cluster nursing is significant, it could effectively improve the gastrointestinal and immune function of patients, reduce postoperative complications.
作者
何露
HE Lu(The fourth ward of general surgery department,first affiliated hospital of Bengbu Medical College,Bengbu,Anhui,233000,China)
出处
《齐齐哈尔医学院学报》
2020年第8期1035-1037,共3页
Journal of Qiqihar Medical University
关键词
胃癌
集束化护理
腹腔镜
胃癌根治术
胃肠
免疫功能
Gastric cancer
Cluster care
Laparoscope
Radical gastrectomy for gastric cancer
The stomach and intestine
Immune function
