摘要
目的:探讨男性中低位直肠癌保肛手术患者采取预防性小肠造口对排便和负性情绪的影响。方法:纳入2020年10月—2023年10月江阴市人民医院收治的107例男性直肠癌患者进行回顾性研究,根据患者采取的治疗方法分为小肠造口组(n=55)和常规治疗组(n=52)。比较两组术后各项指标(首次进食时间、排便时间和下床活动时间)、生活质量评分[生命质量测定量表-CR29(QLQ-CR29)]、排便功能、焦虑情况[90项症状自评量表(SCL-90)]和治疗满意度。结果:小肠造口组首次进食时间、排便时间和下床活动时间均早于常规治疗组,差异均有统计学意义(P<0.05);术前两组生活质量和排便功能比较,差异均无统计学意义(P>0.05);术后3个月小肠造口组生活质量和排便功能评分均明显高于常规治疗组,差异均有统计学意义(P<0.05);术后3个月后两组SCL-90各因子评分均较术前降低,且小肠造口组均明显低于常规治疗组,差异均有统计学意义(P<0.05);小肠造口组治疗满意度(98.18%)明显高于常规治疗组(82.69%),差异有统计学意义(P<0.05)。结论:男性中低位直肠癌保肛手术患者进行预防性小肠造口可有效缩短首次进食时间、排便时间和下床活动时间,提高生活质量和排便功能,减轻负性情绪,并提高患者治疗满意度。
Objective:To investigate the effect of prophylactic enterostomy on defecation and negative emotion in male patients with middle-low rectal cancer underwent anal preservation surgery.Method:A total of 107 male patients with rectal cancer admitted to Jiangyin People's Hospital from October 2020 to October 2023 were included in the retrospective study.According to the treatment methods adopted by the patients,they were divided into small intestine ostomy group(n=55)and conventional treatment group(n=52).The postoperative indexes(first feeding time,defecation time and getting out of bed time),quality of life scores[quality of life questionaire-core 29(QLQ-CR29)],defecation function,anxiety status[symptom checklist-90(SCL-90)]and treatment satisfaction were compared between two groups after treatment.Result:The first feeding time,defecation time and getting out of bed time in small intestine ostomy group were earlier than those in conventional treatment group,the differences were statistically significant(P<0.05).There were no significant differences in quality of life and defecation function between two groups before surgery(P>0.05).3 months after surgery,the quality of life and defecation function scores in the small intestine ostomy group were significantly higher than those in the conventional treatment group,the differences were statistically significant(P<0.05).3 months after surgery,each factor scores of SCL-90 in both groups were lower than those before surgery,and those in the small intestine ostomy group were significantly lower than those in the conventional treatment group,the differences were statistically significant(P<0.05).Treatment satisfaction of small intestine ostomy group(98.18%)was significantly higher than that of conventional treatment group(82.69%),the difference was statistically significant(P<0.05).Conclusion:Preventive enterostomy in male patients with middle-low rectal cancer undergoing anal preservation surgery can effectively shorten the first feeding time,defecation time and getting out
作者
周方敏
ZHOU Fangmin(Department of Anorectal Surgery,Jiangyin People's Hospital,Jiangyin 214400,China)
出处
《中国医学创新》
CAS
2024年第25期55-59,共5页
Medical Innovation of China
基金
江阴市卫生健康委员会科研项目(S202002)。
关键词
预防性小肠造口
中低位直肠癌
保肛手术
负性情绪
Preventive enterostomy
Middle-low rectal cancer
Anal preservation surgery
Negative emotion
