国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
17期
2641-2643
,共3页
李熠%罗萍%李哲%蒋玥姚
李熠%囉萍%李哲%蔣玥姚
리습%라평%리철%장모요
快速康复外科护理%食管癌%围手术期%应激
快速康複外科護理%食管癌%圍手術期%應激
쾌속강복외과호리%식관암%위수술기%응격
Fast track surgery nursing%Esophageal cancer%Perioperative period%Stress
目的 研究快速康复外科护理对食管癌患者术前负性心理、术中应激指标及术后恢复的影响.方法 选取2014年1月至2015年1月我院开展手术治疗的食管癌患者随机划分为对照组与观察组各40例,前者围术期行常规护理,后者在此基础上开展快速康复外科护理.对比两组进入手术室时焦虑及抑郁程度,入院时、进入手术室时、手术30 min时、术后2h皮质醇、肾上腺素、去甲肾上腺素水平,术后2h、6h、12h疼痛视觉模拟量表评分(Visual Analogue Scale,VAS),术后排气、下地活动、住院时间、并发症情况.结果 观察组进入手术室时焦虑及抑郁评分均明显低于对照组;进入手术室后、手术30 min时、术后2h观察组皮质醇水平、肾上腺素水平、去甲肾上腺素水平均明显低于对照组;术后6h、12 h观察组VAS评分均明显低于对照组;观察组术后排气、下地活动及住院时间均明显短于对照组;观察组并发症出现率明显低于对照组,差异统计学意义(P＜0.05).结论 快速康复外科护理可有效缓解食管癌患者术前负面心理、降低围术期手术应激、促进术后恢复,值得临床中推广.
目的 研究快速康複外科護理對食管癌患者術前負性心理、術中應激指標及術後恢複的影響.方法 選取2014年1月至2015年1月我院開展手術治療的食管癌患者隨機劃分為對照組與觀察組各40例,前者圍術期行常規護理,後者在此基礎上開展快速康複外科護理.對比兩組進入手術室時焦慮及抑鬱程度,入院時、進入手術室時、手術30 min時、術後2h皮質醇、腎上腺素、去甲腎上腺素水平,術後2h、6h、12h疼痛視覺模擬量錶評分(Visual Analogue Scale,VAS),術後排氣、下地活動、住院時間、併髮癥情況.結果 觀察組進入手術室時焦慮及抑鬱評分均明顯低于對照組;進入手術室後、手術30 min時、術後2h觀察組皮質醇水平、腎上腺素水平、去甲腎上腺素水平均明顯低于對照組;術後6h、12 h觀察組VAS評分均明顯低于對照組;觀察組術後排氣、下地活動及住院時間均明顯短于對照組;觀察組併髮癥齣現率明顯低于對照組,差異統計學意義(P＜0.05).結論 快速康複外科護理可有效緩解食管癌患者術前負麵心理、降低圍術期手術應激、促進術後恢複,值得臨床中推廣.
목적 연구쾌속강복외과호리대식관암환자술전부성심리、술중응격지표급술후회복적영향.방법 선취2014년1월지2015년1월아원개전수술치료적식관암환자수궤화분위대조조여관찰조각40례,전자위술기행상규호리,후자재차기출상개전쾌속강복외과호리.대비량조진입수술실시초필급억욱정도,입원시、진입수술실시、수술30 min시、술후2h피질순、신상선소、거갑신상선소수평,술후2h、6h、12h동통시각모의량표평분(Visual Analogue Scale,VAS),술후배기、하지활동、주원시간、병발증정황.결과 관찰조진입수술실시초필급억욱평분균명현저우대조조;진입수술실후、수술30 min시、술후2h관찰조피질순수평、신상선소수평、거갑신상선소수평균명현저우대조조;술후6h、12 h관찰조VAS평분균명현저우대조조;관찰조술후배기、하지활동급주원시간균명현단우대조조;관찰조병발증출현솔명현저우대조조,차이통계학의의(P＜0.05).결론 쾌속강복외과호리가유효완해식관암환자술전부면심리、강저위술기수술응격、촉진술후회복,치득림상중추엄.
Objective To study the effect of fast track surgery nursing for patients with esophageal cancer in preoperative period.Methods 80 patients with esophageal cancer surgically treated at our hospital at our hospital from January,2014 to January,2015 were selected randomly divided into a control group and an observation group,40 for each group.The control group were routinely nursed in perioperative period;in addition,the observation group received fast track surgery nursing.The degrees of anxiety and depression when entering operation room,the levels of cortisol,epinephrine,and norepinephrine when being hospitalized and entering operation room,30 minutes after starting operation,and 2 hours after operation,the visual analogue scale (VAS) 2,6,and 12 hours after operation,the time for postoperative exhaustion,ambulation time,hospitalization time,and the incidence of complications were compared between these two groups.Results When entering operation room,the scores of anxiety and depression were significantly lower in the observation group than in the control group.When entering operation room,30 minutes after starting operation,and 2 hours after operation,the levels of cortisol,epinephrine,and norepinephrine were significantly lower in the observation group than in the control group.6 and 12 hours after operation,the VAS score was significantly lower in the observation group than in the control group.The time for postoperative exhaustion,ambulation time,and hospitalization time were significantly shorter in the observation group than in the control group.The incidence of complications was significantly lower in the observation group than in the control group.The differences above were statistically significant (P＜0.05).Conclusions Fast track surgery nursing can effectively relieve the preoperative negative psychological stress in patients with esophageal cancer.It can also reduce intraoperative stress index and promote postoperative recovery.Therefore,it is worth being generalized.
