快速康复外科护理措施在结直肠癌患者围术期的应用价值 .pdf

爵卜邱户璃鼬患者围榭的邮你直

【摘要】目的:讨论结直肠癌患者围术期快速康复外科护理的价值。方法:取随机数字表法，将2022年1月一2022

年12月期间在我科接受结直肠癌根治术的100例患者分配至常规组与快速组,分别实施常规护理和快速康复外科护理，

对比两组护理效果。结果:护理后，快速组情感状态、生理舒适、自理能力、心理支持、疼痛等评分均高于常规组(Pv0.05)；

快速组手术时间、肛门首次排气时间、首次下床活动时间及总住院时间均短于常规组，术中出血量明显少于常规组

(Pv0.05)；快速组感染、腹胀、肠梗阻、尿潴留等并发症发生率低于常规组(Pv0.05)。结论：快速康复外科护理可

以改善结直肠癌患者的康复效果，具有临床推广价值。

【关键词】快速康复外科护理；结直肠癌；围术期；结直肠癌根治术

Theapplicationvalueoffastrehabilitationsurgicalnursingmeasuresduringtheperioperativeperiodof

colorectalcancerpatients

YAGHuan

EasternDistrict,SuzhouMunicipalHospital,Suzhou,Jiangsu215000,China

［Abstract］Objective：Todiscussthevalueofperioperativerapidrehabilitationsurgicalnursingforpatientswith

colorectalcancer.Methods：100patientswhoreceivedradicalresectionofcolorectalcancerinourdepartmentfrom

January2022toDecember2022wereassignedtotheconventionalgroupandthefastgroupbytherandomnumber

tablemethod,receivingroutinenursingandrapidrehabilitationsurgicalnursing,respectively,andthenursingeffects

ofthetwogroupswerecompared.Results：Afternursing,thescoresofemotionalstate,physicalcomfort,self-care

ability,psychologicalsupportandpaininthefastgroupwerehigherthanthoseintheconventionalgroup(P0.05)；

Theoperationtime,firstanalexhausttime,firsttimeofgettingoutofbedactivityandtotalhospitalstayinthefast

groupwereshorterthanthoseintheconventionalgroup,andtheamountofintraoperativebloodlosswassignificantly

lessthanthatintheconventionalgroup(Pv0.05)；Theincidenceofcomplicationssuchasinfection,abdominal

distention,intestinalobstructionandurinaryretentioninthefastgroupwaslowerthanthatintheconventionalgroup

(P0.05).Conclusion：Rapidrehabilitationsurgicalnursingcanimprovetherehabilitationeffectofpatientswith

colorectalcancerandhasclinicalpromotion