现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
12期
1800-1801,1804
,共3页
直肠肿瘤/外科学%围手术期护理%手术期间%直肠癌根治术%快通道外科技术
直腸腫瘤/外科學%圍手術期護理%手術期間%直腸癌根治術%快通道外科技術
직장종류/외과학%위수술기호리%수술기간%직장암근치술%쾌통도외과기술
Rectal neoplasms/surgery%Perioperative nursing%Intraoperative period%Radical resection of rectal carcinoma%Fast track surgery
目的：探讨快通道外科技术在直肠癌根治术中的护理效果。方法选取2010年1月至2012年3月住院行直肠癌手术患者68例，分为观察组46例和对照组22例，分别采用快通道外科技术进行护理和常规护理，观察并比较两组患者的病情知晓率、护理配合率、手术安全率、术后并发症发生率、术后肛门排气排便时间、住院时间、住院费用及满意度。结果观察组患者病情知晓率（100.0%）、护理配合率（97.8%）、手术安全率（95.7%）较对照组（90.9%、95.5%、95.5%、9.1%）均有所提高，但差异无统计学意义（P>0.05）；而观察组患者术后并发症发生率（8.7%）较对照组（9.1%）明显减少，术后肛门排气排便时间[（28.7±4.3）h]较对照组[（38.4±3.9）h]提前，住院时间[（9.2±1.3）d]较对照组[（11.5±3.6）d]明显缩短，住院费用[（6946.3±1831.8）元]较对照组[（9643.2±1864.8）元]明显减少，满意度（97.8%）较对照组（81.8%）也有所提高，差异均有统计学意义（P＜0.05）。结论应用快通道外科技术对直肠癌根治术患者进行护理，能加快患者术后的康复速度，减少并发症的发生，缩短住院时间，降低住院费用，值得在临床推广应用。
目的：探討快通道外科技術在直腸癌根治術中的護理效果。方法選取2010年1月至2012年3月住院行直腸癌手術患者68例，分為觀察組46例和對照組22例，分彆採用快通道外科技術進行護理和常規護理，觀察併比較兩組患者的病情知曉率、護理配閤率、手術安全率、術後併髮癥髮生率、術後肛門排氣排便時間、住院時間、住院費用及滿意度。結果觀察組患者病情知曉率（100.0%）、護理配閤率（97.8%）、手術安全率（95.7%）較對照組（90.9%、95.5%、95.5%、9.1%）均有所提高，但差異無統計學意義（P>0.05）；而觀察組患者術後併髮癥髮生率（8.7%）較對照組（9.1%）明顯減少，術後肛門排氣排便時間[（28.7±4.3）h]較對照組[（38.4±3.9）h]提前，住院時間[（9.2±1.3）d]較對照組[（11.5±3.6）d]明顯縮短，住院費用[（6946.3±1831.8）元]較對照組[（9643.2±1864.8）元]明顯減少，滿意度（97.8%）較對照組（81.8%）也有所提高，差異均有統計學意義（P＜0.05）。結論應用快通道外科技術對直腸癌根治術患者進行護理，能加快患者術後的康複速度，減少併髮癥的髮生，縮短住院時間，降低住院費用，值得在臨床推廣應用。
목적：탐토쾌통도외과기술재직장암근치술중적호리효과。방법선취2010년1월지2012년3월주원행직장암수술환자68례，분위관찰조46례화대조조22례，분별채용쾌통도외과기술진행호리화상규호리，관찰병비교량조환자적병정지효솔、호리배합솔、수술안전솔、술후병발증발생솔、술후항문배기배편시간、주원시간、주원비용급만의도。결과관찰조환자병정지효솔（100.0%）、호리배합솔（97.8%）、수술안전솔（95.7%）교대조조（90.9%、95.5%、95.5%、9.1%）균유소제고，단차이무통계학의의（P>0.05）；이관찰조환자술후병발증발생솔（8.7%）교대조조（9.1%）명현감소，술후항문배기배편시간[（28.7±4.3）h]교대조조[（38.4±3.9）h]제전，주원시간[（9.2±1.3）d]교대조조[（11.5±3.6）d]명현축단，주원비용[（6946.3±1831.8）원]교대조조[（9643.2±1864.8）원]명현감소，만의도（97.8%）교대조조（81.8%）야유소제고，차이균유통계학의의（P＜0.05）。결론응용쾌통도외과기술대직장암근치술환자진행호리，능가쾌환자술후적강복속도，감소병발증적발생，축단주원시간，강저주원비용，치득재림상추엄응용。
Objective To investigate nursing effect of the fast-channel surgery in treatment of radical resection of rectal cancer. Methods Selected 68 patients with rectal cancer surgery from January 2010 to March 2012 to divide into the observation group(46) and the control group(22). They were treated with fast-channel surgery and routine nursing respectively. It was studied and compared with the illness awareness rate,nursing service rate,operation safety rate,occurence rate of postoperative complica-tions,postoperative anal exhaust and defecation time,hospitalization time,hospitalization expenses and degree of satisfaction. Re-sults The illness awareness rate(100.0%),nursing cooperation rate(97.8%),operation safety rate(95.7%) of 68 patients in the obseration group and were higher than those of 22 patients in the control group ,but there is no stati sitically signifificant differ ence while the postoperative complications were reduced significantly (9.7%/0.86%). The postoperative anal exhaust and defecate time[(28.7±4.3)h/(38.4±3.9)h] and the hospitalization time were shortened obviously[(9.2±1.3)d/(11.5±3.6)d)],as well as the hospitalization expenses was decreased significantly [(6 946.3±1 831.8)yuan/(9 643.2±1 864.8)yuan],The satisfaction degree was also increased(99.8/86.0). Conclusion The nursing application of fast-channel surgery in treatnemnt of radical resection of rec-tal cancer can accelerate the recovery of patients after operation,reduce the complications,shorten hospital stay,reduce hospital-ization expenses,which is worthy of promotion in the field of nursing.
