优质护理在结肠癌术后并发肠瘘致腹腔感染患者中应用效果.docVIP

优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果 　　[摘要]目的 观察分析优质护理在结肠癌术后并发肠瘘致腹腔感染患者中的应用效果。方法 选取2012年2月～2015年2月在我院手术的结肠癌术后并发肠瘘致腹腔感染84例患者，采用随机数字表法将其分为对照组和观察组，每组42例。对照组行常规护理干预措施，观察组在此基础上应用优质护理干预。统计两组患者的主要致病菌，观察比较两组患者的临床疗效、生活质量情况。结果 革兰阴性杆菌（76.19%）是结肠癌术后并发肠瘘致腹腔感染的主要细菌。观察组的总有效率高于对照组（P0.05）。术后半年，观察组生活质量高于对照组（P0.05）。结论 革兰阴性杆菌是结肠癌术后并发肠瘘导致腹腔感染的主要细菌，优质护理可提高结肠癌术后并发肠瘘导致腹腔感染的治愈率，改善术后生活质量。 　　[关键词]优质护理；结肠癌术后并发肠瘘；腹腔感染 　　[中图分类号] R735.35 [文献标识码] A [文章编号] 1674-4721（2018）3（c）-0189-03 　　[Abstract]Objective To analyze the application effect of quality of nursing in colon cancer complicated with intestinal fistula in patients with abdominal infection.Methods A total of 84 cases of patients with abdominal infection caused by intestinal fistula from February 2012 to February 2015 in our hospital surgery after resection of colorectal cancer were selected and randomly divided into control group and observation group，42 cases in each group.The control group was treated with routine nursing intervention，and the observation group applied the high quality nursing intervention on the basis of this.The main pathogenic bacteria of the two groups were counted，and the clinical efficacy and quality of life of the two groups were observed and compared.Results Gram-negative bacilli （76.19%） was the main bacterium that causes abdominal infection after colon cancer.The total efficiency of observation group was higher than that of control group （P0.05）.Six months after surgery，the quality of life in the observation group was higher than that in the control group （P0.05）.Conclusion Gram-negative bacilli are the main bacteria causing postoperative intestinal fistula infection in colon cancer.Quality nursing can improve the cure rate of postoperative intestinal fistula infection and improve the postoperative quality of life. 　　[Key words]High quality nursing care；Postoperative colon cancer complicated with intestinal fistula；Abdominal infection 　　结肠癌是我国常见的消化道恶性肿瘤，好发于乙状结肠，以40～60岁人群多见，死亡率较高，预后较差。目前结肠癌的治疗主要有化疗、放疗、手术治疗及其他治疗方式，其中