在加速康复外科指导下结直肠手术的术后护理研究  

Application of fast track rehabilitation nursing in colorectal surgery

作　　者：张婷婷[1] 王刚[2] 江志伟[2] 

机构地区：[1]南京军区南京总医院麻醉科,江苏南京210002 [2]南京军区南京总医院解放军普外科研究所,江苏南京210002

出　　处：《中国误诊学杂志》2012年第4期765-767,共3页Chinese Journal of Misdiagnostics

基　　金：基金项目：江苏省社会发展基金资助（BS2007054）;南京军区科技创新基金资助（072028）

摘　　要：目的探讨加速康复外科理念的术前准备方法对结直肠癌手术患者的应用效果及护理体会。方法60例结直肠癌手术患者随机分成两组，使用加速康复外科理念的术后护理方法30例作为加速康复组，使用传统的术后护理方法30例作为传统对照组，比较两组患者耐受半流饮食时间、术后肠道通气时间、术后住院天数以及术后并发症发生情况。结果加速康复外科理念的术后护理方法与传统的术后护理方法相比．耐受半流饮食和肠道恢复通气时间明显提前（P〈0．01），住院时间明显缩短（P〈0．01），术后并发症的发生率差异无统计学意义（P〉0．05）。结论加速康复外科术后护理方法较传统的术后护理方法提供了更好的医疗服务，而且加快了患者术后肠道恢复．缩短了住院时间，并不增加术后并发症的发生率。Objective To investigate the effectiveness, safety and advantage of using fast track rehabilitation nursing care in coloreetal cancer surgery. Methods 30 patients eared about by using fast track rehabilitation nursing care as trial group and 30 patients using traditional nursing care as control group were compared in the index of dietary intake, postoperative bowel venting, hospital stay time and operative complications. Result Compared to traditional nursing care, the use of fast track rehabilitation nursing care resulted in significantly earlier had semi-liquid orally and faster restoration of gastrointestinal functions（ P〈0.01 ）, postoperative hospital stay was shorter（P〈0.01）. There was no significant difference in the postoperative complications between two groups（P〉0.05 ）. Conclusion Fast track rehabilitation nursing is feasible and effective in colorectal cancer patients.

关 键 词：结肠/外科学 直肠/外科学 手术后医护 

分 类 号：R656.9[医药卫生—外科学] R657.1[医药卫生—临床医学]