CAJ | 학술논문

目的总结腹腔镜直肠癌根治术围术期的护理体会。方法对2008年7月~2013年2月在柳州市柳铁中心医院普外科及昆明医科大学第二附属医院胃肠外科238例腹腔镜直肠癌根治术患者的围术期临床护理资料进行回顾性分析。结果238例患者全部获得手术成功，无1例行中转开腹；无1例出现明显并发症，患者术后恢复良好。手术时间平均为286min；术中平均出血量160ml；患者疼痛时间减少，平均为36h，疼痛程度减轻，术后早期3d即可下床活动，恢复正常进食时间为5d，较开腹手术缩短，平均术后10d左右出院。随访18个月无复发转移。结论通过加强围术期护理，减轻了患者痛苦，患者恢复快，有效缩短了住院天数。
목적총결복강경직장암근치술위술기적호리체회。방법대2008년7월~2013년2월재류주시류철중심의원보외과급곤명의과대학제이부속의원위장외과238례복강경직장암근치술환자적위술기림상호리자료진행회고성분석。결과238례환자전부획득수술성공，무1례행중전개복；무1례출현명현병발증，환자술후회복량호。수술시간평균위286min；술중평균출혈량160ml；환자동통시간감소，평균위36h，동통정도감경，술후조기3d즉가하상활동，회복정상진식시간위5d，교개복수술축단，평균술후10d좌우출원。수방18개월무복발전이。결론통과가강위술기호리，감경료환자통고，환자회복쾌，유효축단료주원천수。
Objective To summarize the perioperative nursing experience of paitients undergoing laparoscopic colorectal cancer resection. Methods Retrospective analysis of perioperative clinical nursing data in 238 patients undergoing laparoscopic colorectal cancer resection in General Surgery of Liuzhou Railway Central Hospital and Gastrointestinal Surgery of Second Af iliated Hospital of Kunming Medical University from July 2008 to February 2013. Results Al of 238 cases of Laparoscopic colorectal cancer resection patients were successful y completed the surgery without significant complications, and with no one case underwent laparotomy. The mean operative time was 286min; mean intraoperative blood loss was 160ml; pain time is reduced with an average of 36h in patients, pain relief, early postoperative ambulation 3d ,the time of resume normal eating is 5 days compared with open surgery shortened, The average time of discharge is about 10 days .No recur ence and metastasis occur fol owing-up of 18 months .Conclusion By strengthening perioperative care, the length of hospital stay was ef ectively shortened, with pain relief and recovery quickly.