摘要
目的探讨快速康复理念在腹腔镜手术治疗结肠癌护理中的应用。方法选择重庆市綦江区中医院2017年2月至2019年8月行手术治疗的84例结肠癌患者,试验组45例(2018年6月至2019年8月入院)围手术期实施快速康复理念护理,对照组39例(2017年2月至2018年5月入院)围手术期实施常规护理。比较两组患者术后镇痛效果、术后静脉输液时间、首次下床活动时间、平均住院时间、胃肠功能恢复情况及炎症反应发生情况。结果试验组术后6、12、24、48 h时的疼痛评分均低于对照组(P<0.05);试验组术后静脉输液时间、首次下床活动时间和平均住院时间均短于对照组(P<0.05);试验组术后胃肠功能恢复情况优于对照组(P<0.05);试验组患者IL-6、TNF-α和CRP炎症因子水平均低于对照组(P<0.05)。结论快速康复理念应用在腹腔镜手术治疗结肠癌患者的护理中,护理措施可行、有效,患者镇痛效果有明显提升,加速患者排气、进食,促进胃肠功能早日恢复,此外,患者机体炎症反应有效缓解,有利于术后快速康复,缩短住院时间。
Objective To explore the application of the rapid rehabilitation concept to the nursing of patients with colon cancer after laparoscopic surgery.Methods A total of 84 patients with colon cancer undergoing laparoscopic surgery in Qijiang District Hospital of Traditional Chinese Medicine from February of 2017 to August of 2019 were selected.Thirty-nine patients admitted to the hospital from February of 2017 to May of 2018 and given the conventional nursing during the perioperative period were divided into the control group and the other 45 patients admitted into the hospital from June of 2018 to August of 2019 and given the nursing of the rapid rehabilitation concept during the perioperative period were divided into the experiment group.The postoperative analgesic effect,postoperative intravenous infusion time,time of the first-time postoperative activity of getting out of bed,average hospital stay,recovery of gastrointestinal function and inflammatory reaction were observed and compared between the two groups.Results The pain scores at 6h,12h,24h and 48h after operation were significantly lower in the experiment group than in the control group(P<0.05).The intravenous infusion time,time of the first-time postoperative activity of getting out of bed and average hospital stay in the experiment group were significantly shorter than those in the control group(P<0.05).The recovery of gastrointestinal function in the experiment group was significantly better than that in the control group(P<0.05).The levels of such inflammatory factors as IL-6,TNF-αand CRP in the experiment group were significantly lower than those in the control group(P<0.05).Conclusion The rapid rehabilitation concept is feasible and effective in the nursing of patients with colon cancer after laparoscopic surgery by obviously improving the analgesic effect,accelerating patients'anal exhaust,shortening their postoperative waiting time for having meals and promoting the recovery of gastrointestinal function.In addition,it can effectively relieve the inflammatory reaction,which is conducive to patients'rapid rehabilitation after surgery and the shortening of hospital stay.
作者
陈国梅
张春高
甘国会
Chen Guomei;Zhang Chungao;Gan Guohui(Qijiang District Hospital of Traditional Chinese Medicine, Qijiang 401420, China)
出处
《成都医学院学报》
CAS
2020年第3期400-404,共5页
Journal of Chengdu Medical College
基金
重庆市綦江区科技计划项目(No:2017076)。
关键词
腹腔镜根治术
结肠癌
快速康复理念
Laparoscopic radical surgery
Colon cancer
Rapid rehabilitation concept
