快速康复在直肠癌术后早期下床活动中的应用研究  

Application of Rapid Rehabilitation in Early Stay-out Activities after Rectal Cancer Operation

作　　者：常永琼[1] 江莉霞[1] 李莎 傅天彦 李前芹 CHANG Yong-qiong;JIANG Li-xia;LI Sha;FU Tian-yan;LI Qian-qin(Yunnan First People's Hospital,Kunming,Yunnan 650032)

机构地区：[1]云南省第一人民医院

出　　处：《智慧健康》2019年第28期36-38,41,共4页Smart Healthcare

基　　金：云南省教育厅科学研究基金项目，项目编号：2015C007Y

摘　　要：目的研究快速康复外科理念在直肠癌术后患者早期下床活动中的应用。方法选择2016年1月至2017年4月云南省第一人民医院普外二科在全麻下行直肠癌手术的患者46例,按照入院的先后顺序编号,分为对照组及实验组,各23例。对照组采用常规护理,实验组遵循快速康复理念进行术后护理。结果实验组患者术后第1、2、3天下床活动距离及下床活动步数均优于对照组,P<0.05;实验组与对照组通气通便时间、进食时间比较,实验组均优于对照组。结论直肠癌术后患者在进行下床活动的过程中,应用快速康复外科理念能够有效地加快患者康复的速度,在临床中值得应用。Objective To study the application of the concept of rapid rehabilitation surgery in early out-of-bed activities of patients with rectal cancer after operation. Methods From January 2016 to April 2017, 46 patients with rectal cancer underwent surgery under general anesthesia in the second department of general surgery of the First People’s Hospital of Yunnan Province were divided into control group and experimental group, with 23 patients in each group. The control group was given routine nursing, while the experimental group was given post-operative nursing according to the concept of rapid rehabilitation. Results The ambulatory distance and steps of the experimental group were better than those of the control group on the 1 st, 2 nd and 3 rd day after operation. Compared with the control group, the experimental group had better ventilation and defecation time and eating time than the control group(P<0.05). Conclusion In the process of getting out of bed after rectal cancer surgery, the application of the concept of rapid rehabilitation surgery can effectively speed up the recovery of patients, which is worthy of clinical application.

关 键 词：直肠癌 快速康复外科 术后活动量 

分 类 号：R47[医药卫生—护理学]