结直肠癌根治术患者围术期的快速康复外科护理  

Perioperative fast track surgery nursing for patients with radical surgery for colorectal cancer

作　　者：库杰 杨东辉[1] 张瑛 李强[1] KU Jie;YANG Donghui;ZHANG Ying;LI Qiang(Surgical Ward for Colorectal Cancer and Anal Disease,Shengjing Hospital Affiliated to China Medical University,Shenyang,Liaoning,110000)

机构地区：[1]中国医科大学附属盛京医院结直肠肿瘤肛门病外科病房,辽宁沈阳110000

出　　处：《实用临床医药杂志》2020年第8期70-72,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨快速康复外科(FTS)理念在结直肠癌根治术患者围术期护理中的效果。方法选取本院结直肠肛门外科择期行腹腔镜结直肠癌根治术的患者94例,随机分为对照组和观察组各47例。对照组给予常规围术期护理,观察组给予基于FTS理念的围术期护理,比较2组患者手术时间、手术出血量、首次肛门排气时间、首次下床活动时间、术后首次进食时间、住院情况和术后并发症发生率。结果2组均成功完成手术,观察组患者术后首次排气时间、首次下床活动时间和首次进食时间均显著短于对照组(P<0.05);观察组住院时间、住院费用显著短于、少于对照组(P<0.05);观察组并发症发生率8.51%,显著低于对照组25.53%(P<0.05)。结论开展FTS理念的围术期护理能有效促进结直肠癌根治术患者术后恢复,缩短住院时间,节省住院费用,减少并发症的发生。Objective To explore the effect of fast track surgery(FTS)concept in the perioperative nursing of patients with radical surgery for colorectal cancer.Methods A total of 94 patients undergoing elective laparoscopic radical resection of colorectal cancer in Department of Colorectal and Anal Surgery were selected and randomly divided into control group and observation group,with 47 cases in each group.The control group was given routine perioperative nursing,while the observation group was given perioperative nursing based on FTS concept.The operation time,operative bleeding volume,time to first anal exhaust,time to first bed-off activity,time to first postoperative food-taking,hospitalization status and incidence of postoperative complications were compared between the two groups.Results The operation was successfully completed in both groups.The time to first anal exhaust,time to first bed-off activity and time to first food-taking after operation in the observation group were significantly shorter than those in the control group(P<0.05).The length of hospital stay and the cost of hospitalization in the observation group were significantly shorter and less than those in the control group(P<0.05).The incidence of complications in the observation group was 8.51%,which was significantly lower than 25.53%in the control group(P<0.05).Conclusion Application of perioperative nursing based on FTS concept can effectively promote the postoperative recovery of patients with radical surgery for colorectal cancer,shorten the length of hospital stay,save the cost of hospitalization,and reduce the incidence of complications.

关 键 词：结直肠癌根治术 快速康复外科理念 围术期护理 术后恢复 并发症 

分 类 号：R735.3[医药卫生—肿瘤]