快速康復外科護理措施在結直腸癌患者圍術期的應用效果觀察

涂燕玲

【摘要】 目的：探析結直腸癌患者圍術期中應用快速康復外科護理措施的臨床效果。方法：隨機選擇筆者所在醫院2015年1月-2016年12月行手術治療的108例結直腸癌患者為研究對象，采用抽簽法均分為兩組，即對照組與干預組，各54例。對照組患者圍術期采用常規護理措施，干預組患者圍術期采用快速康復外科護理措施，對比分析兩組患者術后恢復情況及并發癥發生率。結果：干預組患者肛門排氣時間、排便時間、下床活動時間、住院時間均短于對照組患者，差異有統計學意義（P<0.05）。干預組患者并發癥發生率為7.4%，低于對照組患者的22.2%，差異有統計學意義（P<0.05）。結論：在結直腸癌患者圍術期中應用快速康復外科護理措施的臨床效果更好，能夠促進患者康復，減少并發癥的發生，是一種值得臨床全面借鑒與推廣的護理方式。

【關鍵詞】 結直腸癌； 圍術期； 快速康復外科護理措施

doi：10.14033/j.cnki.cfmr.2017.29.061 文獻標識碼 B 文章編號 1674-6805（2017）29-0121-02

Observation on the Effect of Fast Track Surgery Nursing Measures in the Perioperative Period of Patients with Colorectal Cancer/TU Yan-ling.//Chinese and Foreign Medical Research，2017，15（29）：121-122

【Abstract】 Objective：To explore the clinical effect of perioperative nursing measures in patients with colorectal cancer during perioperative period.Method：A total of 108 patients with colorectal cancer who underwent surgical treatment from January 2015 to December 2016 in our hospital were randomly divided into two groups：control group and intervention group，54 cases in each group.Patients in the control group were treated with routine nursing measures during perioperative period，patients in the intervention group were treated with fast track surgery nursing，the postoperative recovery and complications were compared between the two groups.Result：The anal exhaust time，defecation time，ambulation time and hospitalization time of the intervention group were shorter than those of the control group，and there were significant differences between the two groups（P<0.05）.The incidence of complications in the intervention group was 7.4%，which was lower than 22.2% of the control group，and the difference was statistically significant（P<0.05）.Conclusion：The better clinical effect of application of rapid rehabilitation surgery nursing measures in the perioperative period of colorectal cancer patients，can effectively accelerate the rehabilitation of patients，reduce the incidence of complications，is worthy of clinical reference and promotion of comprehensive nursing.

【Key words】 Colorectal cancer； Perioperative period； Fast track surgery nursing measures

First-authors address：Jianshui Peoples Hospital，Jianshui 654300，China

快速康復外科護理目的就是加快患者術后恢復，其核心就是通過對圍術期各項護理措施的優化，縮短患者術后恢復時間，減輕患者痛苦，減少并發癥，削弱應激反應[1]。自快速康復外科理念提出以來，其在臨床中的應用越來越普遍，且取得了良好的效果。結直腸癌是消化道常見惡性腫瘤，多采用結直腸癌根治術予以治療，但因為手術創傷較大，導致術后并發癥較多，術后恢復慢，所以，必須重視圍術期護理[2]。本文通過對筆者所在醫院2015年1月-2016年12月行手術治療的108例結直腸癌患者的分組研究，探討快速康復外科護理措施的應用效果，現報道如下。endprint

1 資料與方法

1.1 一般資料

隨機選擇筆者所在醫院2015年1月-2016年12月行手術治療的108例結直腸癌患者為研究對象，采用抽簽法均分為對照組和干預組，各54例。對照組患者中，女24例，男30例；……