腹腔镜手术在老年直肠癌患者中的应用及围手术期护理效果分析.docVIP

精品论文 参考文献 腹腔镜手术在老年直肠癌患者中的应用及围手术期护理效果分析 常德市第一人民医院 湖南常德 415000 【摘 要】目的：探讨腹腔镜手术在老年直肠癌患者中的应用及围手术期护理效果。方法：本次试验对象为2014年4月-2016年5月我院就诊的75例行腹腔镜手术的65岁以上老年直肠癌患者，按照随机法将患者分为常规护理组和全程护理组。常规护理组在围手术期给予常规护理措施；全程护理组在围手术期给予全程护理措施。评价：（1）手术护理的满意评价；（2）手术操作时间、术后肛门排气时间、术后平均卧床时间、住院时间；（3）术后切口感染等并发症发生率。结果：（1）全程护理组患者手术护理的满意评价显著比常规护理组高，P＜0.05；（2）全程护理组手术操作时间、术后肛门排气时间、术后平均卧床时间、住院时间显著比常规护理组短，P＜0.05；（3）全程护理组术后切口感染等并发症发生率显著比常规护理组低，P＜0.05。结论：腹腔镜手术在老年直肠癌患者中的应用效果确切，在围手术期给予全程护理，护理效果确切，可缩短操作时间，减少并发症的发生，缩短术后康复时间，值得推广。 【关键词】腹腔镜手术；老年直肠癌患者；围手术期护理效果 【Abstract】 Objective：Application of laparoscopic surgery and perioperative care benefits in patients with colorectal cancer in the elderly.Methods：The subjects for the April 2014 - aged patients with colorectal cancer over 65 years in May 2016 75 underwent laparoscopic surgery in our hospital，patients were divided randomly in accordance with usual care and care throughout the group.Usual care group received routine nursing care in the perioperative period；the whole group was given full care nursing in the perioperative period.Rating：（1）surgical nursing satisfaction rating；（2）operation time，flatus time，the average time in bed after surgery，hospitalization time；（3）the occurrence of complications such as postoperative infection rate.Results：（1）surgery patient care throughout the care group was significantly higher satisfaction rating than conventional care group，P lt;0.05；（2）the entire care group operative time，postoperative anal exhaust time，postoperative average bed time，length of hospital stay was significantly more than short routine care group，P lt;0.05；（3）the whole nursing postoperative complications such as wound infection rate was significantly lower than the usual care group，P lt;0.05.Conclusion：Laparoscopic surgery in elderly patients with colorectal cancer in the application the exact effect，give the entire perioperative nursing，nursing exact effect，can shorten the operation time，reduce complications，shorten recovery time after surgery，worthy of promot