快速康复外科理念在结肠直肠癌护理中的应用探讨  

Discussion on application of fast track surgery concept in colorectal cancer nursing

作　　者：林彬群[1] 黄东娜[1] 

机构地区：[1]汕头市中心医院,515000

出　　处：《中国实用医药》2017年第33期185-187,共3页China Practical Medicine

摘　　要：目的分析在结肠直肠癌护理过程中应用快速康复外科(FTS)理念的效果。方法 104例行结肠直肠癌手术治疗的患者,随机分为对照组和观察组,每组52例。对照组患者采用常规临床护理措施,观察组患者则在护理过程中应用快速康复外科理念。对比两组患者的临床治疗效果及并发症发生情况。结果观察组患者的首次排气时间为(62.37±10.43)h、术后拆线时间为(7.06±1.42)d、首次进食时间为(26.47±10.63)h、引流管拔除时间为(5.05±1.18)d、住院时长为(15.74±3.11)d,对照组各指标水平分别为(83.57±15.37)h、(8.48±2.64)d、(56.31±15.46)h、(6.35±2.15)d、(20.24±4.34)d,两组患者的首次排气时间、首次进食时间、引流管拔除时间、术后拆线时间及住院时长等指标比较,差异具有统计学意义(P<0.05)。观察组共3例患者发生不同程度的并发症,并发症发生率为5.77%;对照组共10例患者发生不同程度的并发症,并发症发生率为19.23%;两组患者术后并发症发生率比较差异具有统计学意义(P<0.05)。结论在结肠直肠癌护理中应用快速康复外科理念,能够显著提高患者的术后康复效果,缩短患者治疗时长,降低并发症的发生。Objective To analyze the effect of fast track surgery（FTS） concept applied in nursing process of colorectal cancer. Methods A total of 104 colorectal cancer patients undergoing surgical treatment were randomly divided into control group and observation group, with 52 cases in each group. The control group received conventional clinical nursing measures, and the observation group received fast track surgery concept in nursing process. Comparison were made on clinical treatment effect and occurrence of complications in two groups. Results The observation group had first exhaust time as（62.37±10.43） h, postoperative disconnection time as（7.06±1.42） d, first feeding time as（26.47±10.63） h, drainage tube extraction time as（5.05±1.18） d and hospitalization time as（15.74±3.11） d, which were respectively（83.57±15.37） h,（8.48±2.64） d,（56.31±15.46） h,（6.35±2.15） d and（20.24±4.34） d in the control group. Both groups had statistically significant difference in first exhaust time, postoperative disconnection time, first feeding time, drainage tube extraction time and hospitalization time（P〈0.05）. The observation group had 3 cases with different degrees of complications, with incidence of complications as 5.77%, while the control group had 10 cases with different degrees of complications, with incidence of complications as 19.23%. Both groups had statistically significant difference in incidence of postoperative complications（P〈0.05）. Conclusion Application of fast track surgery concept in colorectal cancer nursing can obviously improve the postoperative rehabilitation effect of patients, shorten duration of treatment and reduce the occurrence of complications.

关 键 词：快速康复外科 结肠直肠癌 并发症 

分 类 号：R473.73[医药卫生—护理学]