快速康复护理在大肠癌围术期的临床应用  

Clinical application of rapid rehabilitation nursing in perioperative treatment of patients with colorectal cancer

作　　者：管亚华[1] 丁敏[1] 朱建伟[1] 

机构地区：[1]南通大学附属医院普外科,江苏南通226001

出　　处：《实用临床医药杂志》2013年第18期21-23,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨快速康复护理于大肠癌围术期的临床应用。方法选择大肠癌手术患者80例,设其中38例为对照组采用传统护理方案,42例为实验组采用快速康复护理方案,即根据快速康复外科理念,对患者加强健康教育,术前不留置胃管、取消清洁灌肠,术中注重保温、术后早期肠内营养,给予患者早期活动指导,做好镇痛护理。结果实验组42例大肠癌患者术后肠鸣音恢复时间、首次肛门排气时间、停止静脉输液时间、术后并发症发生率及术后住院时间与传统护理组比较,差异均有统计学意义(P<0.05)。结论新的快速康复护理方案对于大肠癌患者的加速康复、减少消耗具有积极的临床意义。Objective To explore the clinical application of rapid rehabilitation nursing in the perioperative treatment of patients with colorectal cancer. Methods 80 patients with coloreetal cancer operation were selected and randomly divided into control group （ n = 38） and experimental group （n = 42）. The control group was conducted with conventional nursing, while the experimen- tal group was conducted with rapid rehabilitation nursing, including health education, withdrawl of gastric tube and enema before operation, intraoperative maintenance of body temperature, postoper- ative enteral nutrition support, early exercise guidance and pain nursing. Results There were sig- nificant differences of recovery time of bowel sound, the time of primary flatus, the unavailability time of intravenous infusion, the incidence rate of postoperative complications and the hospital stay between two groups （P 〈 0.05）. Conclusion New rapid rehabilitation nursing plays a positive role in accelerating rehabilitation and reducing consumption in patients with coloreetal cancer.

关 键 词：快速康复护理 大肠癌 围术期 

分 类 号：R473.73[医药卫生—护理学]