摘要
目的：探讨在老年腹腔镜结直肠癌手术患者围术期护理中采用快速康复外科理念的效果。方法2013年10月—2014年10月选择80例行腹腔镜结直肠癌手术的老年患者，利用随机数余数分组法分为观察组和对照组，各40例。围术期对照组采用传统护理方法，观察组采用快速康复外科理念。比较两组患者术后肛门排气时间、住院费用、住院时间及并发症发生情况。结果观察组患者术后腹胀和肺部感染的发生情况少于对照组，差异有统计学意义（ P〈0.05），其他术后并发症发生情况两组差异无统计学意义（ P〉0.05）。观察组患者的肛门排气时间、住院费用和住院时间均低于对照组，差异有统计学意义（ P〈0.05）。结论对行腹腔镜结直肠癌手术的老年患者选择性地应用快速康复外科理念效果明显优于传统护理方法。
Objective To investigate the application effect of fast track surgery （ FTS ） concept on perioperative nursing in elderly patients with colorectal cancer laparoscopic radical resection. Methods A total of 80 elderly patients with colorectal cancer were selected and averagely divided into experimental group and control group in random remainder grouping method. The conventional nursing was applied in the patients of control group, while the patients of experimental group were applied FTS concept. Postoperative flatus time, the cost of hospitalization, hospital stay and the incidence rate of complication in two groups were compared respectively. Results The incidences of postoperative abdominal distention and pulmonary infection in experimental group were less than that of control group （P〈0.05）, but without statistical difference in other complications between two groups （ P〉0.05） . Flatus time, hospital length of stay and the cost of hospitalization in experimental group were significantly decreased than that in control group （ P〈0. 05 ） . Conclusions The application effect of FTS concept for old patient with colorectal cancer laparoscopic radical resection is remarkably better than conventional nursing method.
出处
《中华现代护理杂志》
2016年第22期3134-3137,共4页
Chinese Journal of Modern Nursing
基金
山东省自然科学基金（ZR2011HM076）
山东省优秀中青年科学家科研奖励基金（BS2013YY045）
关键词
快速康复外科
结直肠癌
老年人
围术期护理
Fast track surgery
Colorectal cancer
Elderly
Perioperative nursing
