中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
4期
373-375
,共3页
李燕%赵婉文%丁明晖%刘宇%陈双
李燕%趙婉文%丁明暉%劉宇%陳雙
리연%조완문%정명휘%류우%진쌍
直肠癌%加速康复外科%围手术期%护理
直腸癌%加速康複外科%圍手術期%護理
직장암%가속강복외과%위수술기%호리
Rectal cancer%Fast track surgery%Perioperative period%Nursing
目的 探讨直肠癌前切除术采用加速康复外科(FTS)护理的安全性及疗效.方法 对20例直肠癌行根治性切除手术患者采用FTS护理(FTS护理组)同期完全随机选择23例直肠癌行根治性手术患者采用常规围手术期护理方法进行对照.比较观察2组护理方法差异、术后恢复情况及护理相关并发症等.结果 加速康复外科护理方案腹腔引流管置留时间、尿管平均放置时间、术后首次进食时间、下床活动时间和肛门首次排气分别为[(2.1±1.7)d,(2.1±1.1)d,(2.3±0.7)d,(3.1±1.2)d,(2.9±0.8)d],均较常规护理组[(4.2±1.3)d,(3.8±0.9)d,(4.3±1.2)d,(4.9±1.5)d,(4.1±1.0)d]明显缩短(P<0.05),术后住院时间缩短(P>0.05).2组术后并发症发生差异无统计学意义.结论 围手术期加速康复外科护理理念在直肠癌行根治性前切除患者中应用具安全有效,利于患者的早期康复.
目的 探討直腸癌前切除術採用加速康複外科(FTS)護理的安全性及療效.方法 對20例直腸癌行根治性切除手術患者採用FTS護理(FTS護理組)同期完全隨機選擇23例直腸癌行根治性手術患者採用常規圍手術期護理方法進行對照.比較觀察2組護理方法差異、術後恢複情況及護理相關併髮癥等.結果 加速康複外科護理方案腹腔引流管置留時間、尿管平均放置時間、術後首次進食時間、下床活動時間和肛門首次排氣分彆為[(2.1±1.7)d,(2.1±1.1)d,(2.3±0.7)d,(3.1±1.2)d,(2.9±0.8)d],均較常規護理組[(4.2±1.3)d,(3.8±0.9)d,(4.3±1.2)d,(4.9±1.5)d,(4.1±1.0)d]明顯縮短(P<0.05),術後住院時間縮短(P>0.05).2組術後併髮癥髮生差異無統計學意義.結論 圍手術期加速康複外科護理理唸在直腸癌行根治性前切除患者中應用具安全有效,利于患者的早期康複.
목적 탐토직장암전절제술채용가속강복외과(FTS)호리적안전성급료효.방법 대20례직장암행근치성절제수술환자채용FTS호리(FTS호리조)동기완전수궤선택23례직장암행근치성수술환자채용상규위수술기호리방법진행대조.비교관찰2조호리방법차이、술후회복정황급호리상관병발증등.결과 가속강복외과호리방안복강인류관치류시간、뇨관평균방치시간、술후수차진식시간、하상활동시간화항문수차배기분별위[(2.1±1.7)d,(2.1±1.1)d,(2.3±0.7)d,(3.1±1.2)d,(2.9±0.8)d],균교상규호리조[(4.2±1.3)d,(3.8±0.9)d,(4.3±1.2)d,(4.9±1.5)d,(4.1±1.0)d]명현축단(P<0.05),술후주원시간축단(P>0.05).2조술후병발증발생차이무통계학의의.결론 위수술기가속강복외과호리이념재직장암행근치성전절제환자중응용구안전유효,리우환자적조기강복.
Objective To investigate the effectiveness and safety of fast track nursing care in perioperative period for rectal cancer patients receiving anterior resection. Methods Twenty-three rectal cancer patients undergo-ing anterior resection were recruited in this study. 20 patients had fast track nursing care and 23 patients had tradi-tional nursing methods. Nursing protocols, postoperative recovery and complications related to nursing care were compared between the two groups. Results Fast track surgery care group was associated with a significantly shorter placement of abdominal drainage tube and catheter, earlier first passage of flatus, time to food-taking and ambula-tion[(2.1±1.7)d vs (4.2±1.3)d, (2.1±1.1)d vs (3.8±0.9)d, (2.9±0.8)d vs(4.1±1.0)d, (2.3±0.7) d vs (4.3±1.2) d, (3.1±1.2) d vs (4.9±1.5 ) d] (P<0.05). Postoperative hospital stay was shorter than traditional nursing methods also (P>0.05). There were no significant differences in postoperative complications. Conclusion Fast track nursing care is feasible and effective in rectal cancer patients undergoing anterior resection.