快速康复理念在直肠癌围手术期护理中的应用  

Application of Fast Track Surgery in Nurse Care for Rectal Cancer Patients

作　　者：潘玲燕[1] 李晓敏[1] 

机构地区：[1]常州市第二人民医院,江苏213003

出　　处：《常州实用医学》2010年第5期287-289,共3页CHANGZHOU PRACTICAL MEDICINE

摘　　要：目的探讨快速康复外科理念在直肠癌围手术期护理工作中的应用效果。方法将140例同期住院行Dixon根治术的直肠癌患者随机分为观察组（90例）和对照组（50例），对照组按直肠癌手术常规护理；观察组遵循快速康复外科理念采用术前教育、手术准备、术后镇痛、体温保护、液体管理、引流管护理、术后早期进食及早期活动等措施。结果两组术后首次排气、排便时间、术后肺部并发症发生率、住院总费用及住院时间比较，两组间差异有统计学意义（P〈0．05）。结论快速康复外科理念在围手术期护理中的运用，可促进直肠癌患者术后早期康复，减少并发症发生率，缩短住院时间，降低住院费用。Objective To investigate the effect of fast track surgery used in perioperative nursing care for patients with rectal cancer. Methods A total of 140 patients with rectal carcinoma were randomized into a control group（90 cases）and an ob- servation group（ 50 eases）. Patients in the control group were given conventional nursing care, while those in the observation group were given fast tract surgery theory in perioperative care, such measures as preoperative education, preparedness of surgery, postop- erative analgesia, dietary care and early activities were improved. Results The time of gas passage, the occurrence rate of complications, the total hospitalization expense and the length of hospital stay showed significant differences between the two groups（ P 〈 0.05） .Conclusion Fast tract surgery theory employed in perioperative nursing care can accelerate recovery after rectal surgery, reduce the hospitalization expense,shorten the hospital stay.

关 键 词：直肠癌 快速康复外科 围手术期 护理 

分 类 号：R473.6[医药卫生—护理学]