摘要
目的探讨加速康复外科理念指导下的食管癌根治术中配合法的临床意义。方法将80例行食管癌根治术的患者按信封法随机分为观察组和对照组，各40例，对照组采用传统的术中护理方法，观察组运用加速康复理念对护理方案进行调整，比较两组患者术中情况、术后并发症、术后平均住院日和平均住院费用。结果观察组患者术中出现异常6例，术后出现并发症7例，明显低于对照组，组间比较差异具有统计学意义（x^2=25．095，P=0．000）；观察组患者术后平均住院时间为（10．025±2．093）d，平均住院费用为（27847．3±2745．5）元，对照组患者术后平均住院时间为（13．575±3．460）d，平均住院费用为（32768．5±4925．9）元，组间比较差异具有统计学意义（t=-6．0223，-5．574；P=0．000）。结论加速康复外科技术，可明显提高食管癌根治术患者手术耐受力，保障患者术中平稳过渡，降低术后并发症发生率。
Objective To explore the clinical significance of the cooperation method in the esophageal cancer operation under the guidance of the concept of accelerated rehabilitation surgery. Methods 80 patients with esophageal cancer were randomly divided into observation group （40 patients） and the control group （40 patients）. Patients in the control group using traditional intra-operative nursing, the observation group was guided by the concept of accelerated rehabilitation, re-optimized the integration of surgery with the new methods, which including changing the preoperative visit time, method and preoperative abnormal food and drink, indwelling various pipeline with basic anesthesia, strictly maintaining body temperature and monitoring body temperature in surgery, restricted transfusion and blood transfusion, closely monitoring and preventing complications, etc. Condition during operation, complication after operation, mean hospitalization day and cost in two groups were analyzed and compared. Results 6 cases in observation group occurred abnormity during operation and 7 cases occurred eomplication after operation, it was Jower than the control group （ X^2 = 25.095, P = 0. 000） ; the mean hospitalization day （ 10. 025 ± 2. 093 ） and cost （ 27 847.3 ± 2745.5 ） in observation group were lower than those in control group [ （ 13. 575 ± 3. 460） and （ 32 768.5 ± 4 925.9 ）, respectively ] and the differences was significant （ t = - 6. 022 3, - 5. 574 ; P = 0. 000 ）. Conclusions The application of accelerated rehabilitation surgery nursing in operation of esophageal cancer, can significantly improve patient＇ s tolerance, reduce stress and reduce intra-operative abnormalities and postoperative complications. Then it also can shorten the hospitalization times and reduce the hospitalization costs.
出处
《中华现代护理杂志》
2011年第34期4125-4127,共3页
Chinese Journal of Modern Nursing
基金
基金项目：南通市社会发展基金资助课题（S8911）
关键词
手术中护理
食管癌根治术
加速康复外科
Intraoperative care
Esophageal resection
Accelerated rehabilitation surgery
