腹腔镜手术在老年直肠癌患者治疗中应用及围术期临床护理要点分析.docVIP

腹腔镜手术在老年直肠癌患者治疗中应用及围术期临床护理要点分析 　　【摘要】 目的：探讨老年直肠癌患者应用腹腔镜手术治疗及围术期护理要点。方法：选取2012年 　　2月-2014年2月本院收治的老年直肠癌患者96例作为研究对象，根据入院编号将其随机分为对照组和观察组，每组48例。对照组给予常规治疗和护理，观察组采用腹腔镜手术和针对性护理，比较两组术后恢复和并发症发生情况。结果：观察组在住院时间、胃肠功能恢复时间及下床活动时间等方面均优于对照组，比较差异均有统计学意义（P0.05）；观察组并发症发生率为10.42%，明显低于对照组的22.92%，比较差异有统计学意义（P0.05）。结论：腹腔镜手术治疗老年直肠癌具有恢复快、创伤小等优点，结合针对性护理能够有效提高疗效，值得临床推广。 　　【关键词】 腹腔镜； 直肠癌； 围术期临床护理 　　【Abstract】 Objective：To explore the application of laparoscopic surgery in the treatment of elderly patients with rectal cancer and perioperative nursing points.Method：A total of 96 cases of elderly rectal cancer from February 2012 to February 2014 in our hospital were selected as the research objects，they were randomly divided into the control group and the observation group according to the admission number，each group had 48 cases.The control group was given conventional treatment and nursing，the observation group was treated with laparoscopic surgery and targeted nursing，the postoperative recovery and complication rate of two groups were compared.Result：The observation group in hospital time，gastrointestinal function recovery time，get out of bed activity time and other aspects were better than those of the control group，the differences were statistically significant（P0.05）.The complication rate of the observation group was 10.42%，which was significantly lower than 22.92% of the control group，the difference was statistically significant（P0.05）.Conclusion：Laparoscopic surgery in the treatment of elderly patients with colorectal cancer has the advantages of quick recovery and small trauma，combined with targeted care can effectively improve the efficacy，it is worthy of clinical promotion. 　　【Key words】 Laparoscopic； Rectal cancer； Perioperative clinical nursing 　　First-author’s address：Wujin People’s Hospital of Changzhou City，Changzhou 213002，China 　　doi：10.3969/j.issn.1674-4985.2016.11.028 　　直肠癌是发病率较高的一种消化道恶性肿瘤，好发于45岁以上中老年人，具有多种诱因，其发病与遗传因素、饮食习惯及社会环境等诸多因素有关[1]。手术是临床上治疗直肠癌较有效的一种方法，尤其是腹腔镜手术，具有较