CAJ | 학술논문

目的探讨快速康复外科护理在腹腔镜结直肠癌患者围手术期中应用的效果.方法将60例行腹腔镜结直肠癌手术的患者随机分为对照组与观察组各30例.对照组患者给予常规护理,观察组患者接受快速康复外科护理,比较2组手术情况、临床效果及术后并发症发生率.结果 2组麻醉时间、手术时间及术中出血量比较无显著差异；观察组患者术后下床时间、排气时问、住院时间显著少于对照组；观察组与对照组术后并发症发生率分别为26.7％和46.7％,差异显著.结论对腹腔镜结直肠癌围手术期患者实施快速康复外科护理,可促进患者更快地康复,减少住院时间和术后并发症.
목적 탐토쾌속강복외과호리재복강경결직장암환자위수술기중응용적효과.방법 장60례행복강경결직장암수술적환자수궤분위대조조여관찰조각30례.대조조환자급여상규호리,관찰조환자접수쾌속강복외과호리,비교2조수술정황、림상효과급술후병발증발생솔.결과 2조마취시간、수술시간급술중출혈량비교무현저차이；관찰조환자술후하상시간、배기시문、주원시간현저소우대조조；관찰조여대조조술후병발증발생솔분별위26.7％화46.7％,차이현저.결론 대복강경결직장암위수술기환자실시쾌속강복외과호리,가촉진환자경쾌지강복,감소주원시간화술후병발증.
Objective To evaluate the effect of fast track surgery nursing in perioperative nursing of patients undergoing laparoscopic resection of colorectal cancer. Methods 60 cases undergoing laparoscopic resection of colorectal cancer were divided into the control group and the obserevation group with 30 patients in each group.The control group was given routine nursing,the observation group accepted fast track surgery nursing.The operation situation,clinical effect and the rate of postoperative complications were compared between two groups. Results There was no significant difference of anesthesia duration,operation time and intraoperative blood loss in two groups.Time of getting out of bed,exhaust time and hospital stay in the observation group were much shorter than those in the control group.The rate of postoperative complications were 26.7％ and 46.7％ in the observation group and the control group respectively,the difference was significant. Conclusions Application of fast track surgery nursing in perioperative nursing of patients undergoing laparoscopic resection of colorectal cancer can promote the quick recovery of patients and reduce the hospital stay and postoperative complications.