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快速康复理念在腹腔镜结、直肠手术围术期的应用 被引量:5

Application of Fast Track Surgery in the Perioperative Period of Laparoscopic Colonic Surgery
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摘要 目的探讨腹腔镜结直肠根手术围术期应用快速康复护理理念的可靠性及其理论依据。方法选择2015年4月至2016年12月在我院结直肠外科住院行腹腔镜手术治疗的结直肠肿瘤患者90例按照不同的护理方法随机分为对照组40例(常规护理)、观察组50例(快速康复护理理念),对照两组患者C反应蛋白、呼吸、心率、疼痛评分、进流食时间、排气时间、最早下床活动时间、住院时间。结果两组患者C反应蛋白、呼吸、心率、疼痛评分水平比较(t=8.660、4.120、4.030、4.050,P<0.05,具有显著性差异);两组患者进流食时间、排气时间、最早下床活动时间、住院时间比较(t=5.460、6.120、6.760、5.740,P<0.05,差异具有统计学意义)。结论腹腔镜结肠肿瘤围术期应用快速康复理念护理是有效、可行能促进患者术后尽快康复。 Objective To investigate the reliability and the theoretical basis of fast tract surgery used in perioperative nursing care for patients receiving laparoscopic colorectal surgery.Methods 90 cases with colorectal cancer admitted into the department of colorectal surgery in our hospital from April 2015 to December 2016 were randomly divided into control group of 40 patients (routine nursing) and the observation group of 50 cases (rapid rehabilitation nursing) based on the different nursing methods.And the two groups of patients were compared in terms of C reactive protein,controlled breathing,heart rate,pain degree,liquid diet time,exhaust time,first ambulation time and hospitalization time.Results Comparison was made in the C reactive protein,breathing,heart rate and pain degree between the two groups (t=8.660, 4.120,4.030,4.050,P〈0.05,with a significant difference),and in terms of the liquid diet time,the first exhaust time,ambulation time,hospitalization time (t=5.460,6.120,6.760,5.740,P〈0.05,with a significant difference).Conclusion The concept of fast tract surgery used in perioperative nursing care for patients with laparoscopic colorectal surgery is effective and feasible to promote the postoperative rehabilitation as soon as possible.
作者 张洁
出处 《锦州医科大学学报》 CAS 2017年第2期59-61,共3页 Journal of Jinzhou Medical University
关键词 速康复理念 腹腔镜 结直肠 意义 fast track surgery laparoscopy colorectal significance
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