加速康复外科理念在腹腔镜直肠癌根治术护理中的应用价值  

The Application Value of the Concept of Accelerated Rehabilitation Surgery in the Nursing of Laparoscopic radical Resection of Rectal Cancer

作　　者：肖贵元 XIAO Guiyuan(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第18期167-170,共4页Guide of China Medicine

摘　　要：目的探讨对腹腔镜直肠癌根治术患者采用加速康复外科理念进行干预后获得临床效果,实现治疗方案的持续性优化,推动直肠癌根治手术护理方案的最优化。方法采取对比研究的方式,通过设定相应的指标,开展定向、定性研究。将我院2018年4月至2020年3月收治的94例腹腔镜直肠癌根治术患者数字奇偶法分组;加速康复组(47例):采用常规护理干预理念+加速康复外科理念展开对应干预;常规组(47例):采用常规护理干预理念展开对应干预;就组间患者系列指标表现时间以及总术后并发症(吻合口漏、切口感染以及尿路感染)率展开对比。结果加速康复组腹腔镜直肠癌根治术手术结束至首次下床活动的时间为(17.35±3.26)h、首次排气时间(47.55±2.45)h以及住院天数(5.35±1.81)d短于常规组(26.29±3.49)h、(54.32±2.85)h以及(8.79±1.85)d(P<0.05);两组腹腔镜直肠癌根治术患者并发症类型主要体现为吻合口瘘、切口感染与尿路感染几方面;最终发现加速康复组腹腔镜直肠癌根治术患者总术后并发症率(4.26%)低于常规组(23.40%)(P<0.05)。结论有效运用加速康复外科理念,可实现腹腔镜直肠癌根治术患者系列指标表现时间缩短,并同时显著减少总术后并发症,最终实现腹腔镜直肠癌根治术患者有效预后,并且操作难度较低,护理实践经验成熟,具有临床推广的价值。Objective To explore the clinical effect of laparoscopic radical resection of rectal cancer patients with the concept of accelerated rehabilitation surgery intervention,to achieve the continuous optimization of treatment plan,promote the optimization of radical resection of rectal cancer surgical nursing plan.Methods To carry out directional and qualitative research by setting corresponding indexes.A total of 94 patients admitted to our hospital from April 2018 to March 2020 with laparoscopic radical rectal cancer were divided into two groups by odd-even method.Accelerated rehabilitation group(47 cases):conventional nursing intervention concept+accelerated rehabilitation surgery concept to carry out corresponding intervention;Conventional group(47 cases):corresponding intervention was carried out by conventional nursing intervention concept;The time of presentation of a series of indicators and the rate of total postoperative complications(anastomotic leakage,incision infection,and urinary tract infection)were compared between groups.Results In the accelerated rehabilitation group,the time from the end of the operation to the first ambulation was(17.35±3.26)h,the first exhaust duration(47.55±2.45)h and the length of hospital stay(5.35±1.81)d were shorter than those in the conventional group(26.29±3.49)h,(54.32±2.85)h and(8.79±1.85)d(P<0.05).The complications of laparoscopic radical resection of rectal cancer in the two groups were mainly reflected in anastomotic fistula,incision infection and urinary tract infection.It was found that the total postoperative complication rate(4.26%)in the accelerated rehabilitation group was significantly lower than that in the conventional group(23.40%)(P<0.05).Conclusion The effective application of the accelerate rehabilitation surgery concept can shorten the performance time of a series of indicators in patients undergoing laparoscopic radical rectal cancer surgery,and at the same time significantly reduce total postoperative complications,and finally achieve an effectiv

关 键 词：加速康复外科理念 腹腔镜直肠癌根治术 系列指标表现时间 总术后并发症率 

分 类 号：R473.73[医药卫生—护理学]