直肠癌保肛术后患者肠道功能现状及其影响因素  

Current status and influencing factors of bowel function in patients with rectal cancer after sphincter-preserving surgery

作　　者：罗梦娜 陈钰芬 温晓云 李聪[1] 阳霞[1] Luo Mengna;Chen Yufen;Wen Xiaoyun;Li Cong;Yang Xia(Department of Colorectal Surgery,Sun Yat-sen University Cancer Center,Guangzhou 510060,China)

机构地区：[1]中山大学肿瘤防治中心结直肠科,广州510060

出　　处：《中国实用护理杂志》2021年第36期2801-2806,共6页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术研究基金(A2019242)。

摘　　要：目的了解直肠癌保肛术后患者肠道功能现状及其影响因素,以期提高患者的生命质量。方法选择2017年1月至2020年4月中山大学肿瘤防治中心收治的179例直肠癌保肛术后患者为研究对象,采用一般资料问卷和直肠癌保肛术后患者肠道功能量表进行调查。结果直肠癌保肛术后患者的肠道功能总分为(71.82±7.67)分,条目均分为(3.99±0.43)分。肠道功能各维度中,"排便受饮食影响"维度均分最高,为(4.39±0.80)分,其次是"便频便急"维度,为(4.22±0.49)分,"排便感觉异常"维度最低,为(3.03±0.67)分。肿瘤离肛缘距离是直肠癌保肛术后患者肠道功能的影响因素(P<0.05)。结论直肠癌保肛术后患者肠道功能较好,肿瘤下缘距离肛缘距离<5.0 cm的直肠癌保肛术后患者肠道功能较差。Objective To understand the status and influencing factors of the bowel function in patients with rectal cancer after sphincter-preserving surgery,and then to improve the patients′quality of life.Methods From January 2017 to April 2020,a total of 179 patients with rectal cancer after sphincter-preserving surgery in Sun Yat-sen University Cancer Center were selected as study subjects.General questionnaire and the scale about bowel function of patients with rectal cancer after sphincter-preserving surgery were used to investigate.Results The total score of bowel function in patients with rectal cancer after sphincter-preserving surgery was(71.82±7.67),and the average score of all the items was(3.99±0.43).In all dimensions of intestinal function,the average score of"defecation affected by diet"was the highest(4.39±0.80),followed by"frequent and urgent defecation"(4.22±0.49),and the average score of"defecation paresthesia"was the lowest(3.03±0.67).Tumor distance from the anal border was the influencing factor of bowel function in patients with rectal cancer after sphincter-preserving surgery(P<0.05).Conclusions The bowel function of patients with rectal cancer after sphincter-preserving surgery was well,while the bowel function of patients with rectal cancer after sphincter-preserving surgery with the distance between the tumor and the lower edge of the anus<5.0 cm was relatively poor.

关 键 词：直肠肿瘤 保肛术 肠道功能 影响因素 

分 类 号：R735.37[医药卫生—肿瘤]