加速康复护理在结肠癌患者围手术期中的应用  

Application of fast track rehabilitation nursing in perioperative patients with colonic carcinoma

作　　者：夏萍[1] 刘红卫[1] 邓宛如[1] 董秀玲[1] 

机构地区：[1]天津市第一中心医院,天津300192

出　　处：《天津护理》2010年第2期76-77,共2页Tianjin Journal of Nursing

摘　　要：目的:探讨加速康复护理对结肠切除术后患者的影响。方法:将60例结肠癌患者随机分为观察组和对照组各30例,分别实施加速康复护理和传统护理。观察组术前晚开塞露纳肛,术前6 h禁食固体食物。术前2 h在专业护士指导下口服糖水500 mL(含蔗糖50 g),然后禁液体饮食。不保留胃管及导尿管;术后第1天使用缓泻剂、促肠蠕动剂,术后不禁食。对照组术前肥皂水清洁灌肠。术前12 h禁食水,常规留置胃管、尿管。术后肠功能自然恢复,患者肛门排气后再进食。结果:观察组患者住院时间平均缩短1.73天(P<0.01);首次排便时间平均提前14.54 h(P<0.01);规律复诊优于传统护理(P<0.01)。结论:加速康复护理提供了较传统护理更好的医疗服务,显著提高了患者术后康复速度。Objective： To discuss the influence of fast track rehabilitation nursing in the patients underwent colon surgery.Methods： 60 patients with colonic carcinoma were randomly divided into the experiment group（n=30）and the control group（n=30）.One group accepted fast track rehabilitation nursing and the other group accepted traditional methods of care.Results： Length of postoperative stay reduced 1.73 days（P0.01）;first defecation time was 14.54 hours earlier（P0.01）;regular return visit was much better than the control group（P0.01）.Conclusion： Fast track rehabilitation care can offer better medical service than traditional recovery,and obviously meliorates recovery after operation.

关 键 词：加速康复外科 结肠癌 手术 护理 

分 类 号：R473.6[医药卫生—护理学]