摘要
目的探讨加速康复外科护理对宫颈癌根治术患者氧化应激反应的影响。方法将60例行腹腔镜宫颈癌根治术的患者随机分为对照组和观察组,每组各30例。对照组采用围手术期常规护理,观察组采用加速康复外科护理,包括术前相关知识讲解、术中监控体温及控制输液量、术后给予三阶梯镇痛及早期康复护理。结果观察组患者首次排气时间、进食时间、下床活动时间、住院时间均缩短,住院费用降低;满意度提高;术后丙二醛和活性氧自由基水平均显著降低,谷胱甘肽过氧化物酶和超氧化物岐化酶水平均明显增加。结论加速康复外科护理可提高宫颈癌根治术患者的康复效果和满意度,明显抑制其氧化应激反应,值得在临床上推广使用。
Objective To explore the effect of enhanced recovery after surgery(ERAS) on oxidative stress in cervical cancer patients after radical operation.Methods A total of sixty cervical cancer patients after radical operation were randomly divided into intervention group(n=30) and control group(n=30).The intervention group received ERAS,while the control group were given routine care.Results The intervention group showed early exhaust,eating and out of bed activities after surgery,the length of hospitalization and hospital costs were lower than those in the control group.The degree of satisfaction in intervention group were higher the control group.Additionally,the level of malondialdehyde and reactive oxygen species after surgery in the intervention group were decreased in comparison with control group,but the level of glutathione peroxidase and superoxide dismutase after surgery in the intervention group were significantly increased.Conclusion ERAS could promote the rehabilitation of cervical cancer patients after radical operation,its oxidative stress response was inhibited significantly.It is worthy to popularize in clinic.
作者
蒙玉莲
谭菊花
韦秀
曹婵
MENG Yulian;TAN Juhua;WEI Xiu;CAO Chan(Operation Room, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China)
出处
《护理管理杂志》
2019年第7期517-520,共4页
Journal of Nursing Administration
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20171005)
关键词
加速康复外科
护理
宫颈癌根治术
氧化应激
enhanced recovery after surgery
nursing
radical operation of cervical cancer
oxidative stress