中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
34期
4125-4127
,共3页
手术中护理%食管癌根治术%加速康复外科
手術中護理%食管癌根治術%加速康複外科
수술중호리%식관암근치술%가속강복외과
Intraoperative care%Esophageal resection%Accelerated rehabilitation surgery
目的 探讨加速康复外科理念指导下的食管癌根治术中配合法的临床意义.方法 将80例行食管癌根治术的患者按信封法随机分为观察组和对照组,各40例,对照组采用传统的术中护理方法,观察组运用加速康复理念对护理方案进行调整,比较两组患者术中情况、术后并发症、术后平均住院日和平均住院费用.结果 观察组患者术中出现异常6例,术后出现并发症7例,明显低于对照组,组间比较差异具有统计学意义(x2 =25.095,P=0.000)；观察组患者术后平均住院时间为(10.025±2.093)d,平均住院费用为(27847.3 ±2745.5)元,对照组患者术后平均住院时间为(13.575±3.460)d,平均住院费用为(32768.5±4925.9)元,组间比较差异具有统计学意义(t=-6.0223,-5.574;P=0.000).结论 加速康复外科技术,可明显提高食管癌根治术患者手术耐受力,保障患者术中平稳过渡,降低术后并发症发生率.
目的 探討加速康複外科理唸指導下的食管癌根治術中配閤法的臨床意義.方法 將80例行食管癌根治術的患者按信封法隨機分為觀察組和對照組,各40例,對照組採用傳統的術中護理方法,觀察組運用加速康複理唸對護理方案進行調整,比較兩組患者術中情況、術後併髮癥、術後平均住院日和平均住院費用.結果 觀察組患者術中齣現異常6例,術後齣現併髮癥7例,明顯低于對照組,組間比較差異具有統計學意義(x2 =25.095,P=0.000)；觀察組患者術後平均住院時間為(10.025±2.093)d,平均住院費用為(27847.3 ±2745.5)元,對照組患者術後平均住院時間為(13.575±3.460)d,平均住院費用為(32768.5±4925.9)元,組間比較差異具有統計學意義(t=-6.0223,-5.574;P=0.000).結論 加速康複外科技術,可明顯提高食管癌根治術患者手術耐受力,保障患者術中平穩過渡,降低術後併髮癥髮生率.
목적 탐토가속강복외과이념지도하적식관암근치술중배합법적림상의의.방법 장80례행식관암근치술적환자안신봉법수궤분위관찰조화대조조,각40례,대조조채용전통적술중호리방법,관찰조운용가속강복이념대호리방안진행조정,비교량조환자술중정황、술후병발증、술후평균주원일화평균주원비용.결과 관찰조환자술중출현이상6례,술후출현병발증7례,명현저우대조조,조간비교차이구유통계학의의(x2 =25.095,P=0.000)；관찰조환자술후평균주원시간위(10.025±2.093)d,평균주원비용위(27847.3 ±2745.5)원,대조조환자술후평균주원시간위(13.575±3.460)d,평균주원비용위(32768.5±4925.9)원,조간비교차이구유통계학의의(t=-6.0223,-5.574;P=0.000).결론 가속강복외과기술,가명현제고식관암근치술환자수술내수력,보장환자술중평은과도,강저술후병발증발생솔.
Objective To explore the clinical significance of the cooperation method in the esophageal cancer operation under the guidance of the concept of accelerated rehabilitation surgery.Methods 80 patients with esophageal cancer were randomly divided into observation group(40 patients)and the control group (40 patients).Patients in the control group using traditional intra-operative nursing,the observation group was guided by the concept of accelerated rehabilitation,re-optimized the integration of surgery with the new methods,which including changing the preoperative visit time,method and preoperative abnormal food and drink,indwelling various pipeline with basic anesthesia,strictly maintaining body temperature and monitoring body temperature in surgery,restricted transfusion and blood transfusion,closely monitoring and preventing complications,etc.Condition during operation,complication after operation,mean hospitalization day and cost in two groups were analyzed and compared.Results 6 cases in observation group occurred abnormity during operation and 7 cases occurred complication after operation,it was lower than the control group(x2 =25.095,P =0.000); the mean hospitalization day(10.025 ± 2.093)and cost(27 847.3 ± 2745.5)in observation group were lower than those in control group[(13.575 ± 3.460)and(32 768.5 ± 4 925.9),respectively]and the differences was significant(t =-6.022 3,-5.574 ; P =0.000).Conclusions The application of accelerated rehabilitation surgery nursing in operation of esophageal cancer,can significantly improve patient's tolerance,reduce stress and reduce intra-operative abnormalities and postoperative complications.Then it also can shorten the hospitalization times and reduce the hospitalization costs.
