摘要
目的分析快速康复在经肛门自然腔道标本取出的腹腔镜直肠癌根治术中的应用效果。方法72例直肠癌患者,随机分为常规组和干预组,每组36例。两组患者均接受经肛门自然腔道标本取出的腹腔镜直肠癌根治术,常规组接受常规护理干预措施,干预组接受快速康复护理。比较两组患者临床指标(肠鸣音恢复时间、下床活动时间、首次排气时间)及并发症发生情况。结果干预组患者肠鸣音恢复时间(1.47±0.39)d、下床活动时间(2.10±0.62)d、首次排气时间(1.24±0.51)d均明显短于常规组的(2.44±0.56)、(3.61±0.75)、(2.87±0.66)d,差异具有统计学意义(P<0.05)。干预组患者并发症发生率5.56%低于常规组的22.22%,差异具有统计学意义(P<0.05)。结论直肠癌患者应用经肛门自然腔道标本取出的腹腔镜直肠癌根治术联合快速康复护理,有利于减少手术对患者身心的刺激,减少术后并发症的发生,促进身体的快速恢复。
Objective To analyze the practical effect of fast track rehabilitation in laparoscopic radical resection of rectal cancer with specimen removal through anal natural cavity.Methods A total of 72 patients with rectal cancer were randomly divided into conventional group and intervention group,with 36 cases in each group.Both groups were treated with laparoscopic radical resection of rectal cancer with specimen removal through anal natural cavity.The conventional group received conventional nursing,and the intervention group received fast track rehabilitation.The clinical indicators(recovery time of bowel sounds,off-bed activity time and first exhaust time)and occurrence of complications were compared between the two groups.Results The recovery time of bowel sounds(1.47±0.39)d,off-bed activity time(2.10±0.62)d and first exhaust time(1.24±0.51)d of the intervention group were obviously shorter than(2.44±0.56),(3.61±0.75)and(2.87±0.66)d of the conventional group,and the difference was statistically significant(P<0.05).The incidence of complications 5.56%of the intervention group was lower than 22.22%of conventional group,and the difference was statistically significant(P<0.05).Conclusion For patients with rectal cancer,the application of laparoscopic radical resection of rectal cancer with specimen removal through anal natural cavity combined with fast track rehabilitation is conducive to reducing the physical and mental stimulation of the operation to the patient,lowering the occurrence of postoperative complications,and promoting the rapid recovery of the body.
作者
王威
WANG Wei(Benxi Central Hospital,Benxi 117000,China)
出处
《中国现代药物应用》
2021年第7期246-248,共3页
Chinese Journal of Modern Drug Application
关键词
自然腔道标本取出术
腹腔镜直肠癌根治术
快速康复
Specimen removal through anal natural cavity
Laparoscopic radical resection of rectal cancer
Fast track rehabilitation
