CAJ | 학술논문

目的：探讨传统腹部手术与腹腔镜结直肠癌根治术对患者术后生命质量的不同影响。方法：选取某三甲医院肛肠科2013年12月～2014年3月行结直肠癌根治术患者51例，其中传统开腹手术27例，腹腔镜手术24例，在术后3个月采用肠癌患者生命质量测定量表QLICP－CR进行生命质量调查，比较两种手术方式患者术后3个月生命质量。结果：腹腔镜手术组患者术后3个月整体生命质量、躯体功能领域和共性症状与副作用的标准化得分明显比传统腹部手术高，躯体功能中的基本生理功能比传统腹部手术高，化疗期间副反应比传统手术组少，差异有统计学意义（P＜0．05）。腹腔镜手术组在心理功能领域的情绪得分明显比传统腹部手术组高，差异有统计学意义（P＜0．05）。结论：腹腔镜手术后的结直肠癌患者生命质量比传统手术高，主要体现在基本生理功能好、情绪稳定和短期内化疗副反应较轻3个方面。临床医护人员需根据不同术式的结直肠癌患者具体情况，有针对性地提供干预措施来提高患者生命质量。
목적：탐토전통복부수술여복강경결직장암근치술대환자술후생명질량적불동영향。방법：선취모삼갑의원항장과2013년12월～2014년3월행결직장암근치술환자51례，기중전통개복수술27례，복강경수술24례，재술후3개월채용장암환자생명질량측정량표QLICP－CR진행생명질량조사，비교량충수술방식환자술후3개월생명질량。결과：복강경수술조환자술후3개월정체생명질량、구체공능영역화공성증상여부작용적표준화득분명현비전통복부수술고，구체공능중적기본생리공능비전통복부수술고，화료기간부반응비전통수술조소，차이유통계학의의（P＜0．05）。복강경수술조재심리공능영역적정서득분명현비전통복부수술조고，차이유통계학의의（P＜0．05）。결론：복강경수술후적결직장암환자생명질량비전통수술고，주요체현재기본생리공능호、정서은정화단기내화료부반응교경3개방면。림상의호인원수근거불동술식적결직장암환자구체정황，유침대성지제공간예조시래제고환자생명질량。
Objective:To explore the traditional abdominal surgery and laparoscopic colorectal cancer radical different impact on the life quality of postopera-tive patients.Methods:51 patients with colorectal cancer radical from December 2013 to March 2014 were selected,27 cases with traditional laparotomy,lap-aroscopic surgery 24 cases.3 months after surgery with colon cancer patients quality of life measurement scale QLICP -CR to investigate quality of life.To compare two kinds of operation method 3 months postoperatively in patients with quality of life .Results:3 months postoperatively in patients with laparoscop-ic surgery group overall quality of life,physical function and common symptoms and side effects in the field of standardization scored significantly higher than traditional abdominal surgery,the basic physiological function of the body function was higher than traditional abdominal surgery ,chemotherapy side effects during less than traditional surgery group,the difference was statistically significant(P <0.05).Laparoscopic surgery group in the field of psychological function of emotional scored significantly higher than traditional abdominal surgery group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic colorectal cancer patients quality of life after surgery is higher than traditional surgery,is mainly reflected in the basic physiological,emotional stability and side effects of chemotherapy is lighter three aspects in the short term .Clinical medical personnel should be according to the specific situation of the different operative methods of patients with colorectal cancer ,targeted to provide intervention measures to improve the patients quality of life .