综合康复指导对预防直肠癌术后前切除综合征的意义分析  

Analysis of the significance of comprehensive rehabilitation guidance in preventing anterior resection syndrome after rectal cancer surgery

作　　者：孙文 SUN Wen(Second Breast Surgery Department,Dalian Third People's Hospital,Dalian 116000,China)

机构地区：[1]大连市第三人民医院普外二乳腺科,116000

出　　处：《中国实用医药》2023年第19期146-149,共4页China Practical Medicine

摘　　要：目的分析综合康复指导对预防直肠癌术后前切除综合征的意义。方法60例直肠癌术后患者,随机分为对照组和试验组,每组30例。对照组给予常规干预,试验组在对照组基础上采用综合康复指导。比较两组患者肛管静息压、直肠静息压、肛管最大收缩压、肛管最大收缩时间、低位前切除综合征评分、生活质量评分、结直肠癌专用生活质量评分、直肠功能评价量表评分。结果试验组肛管静息压、肛管最大收缩压分别为(30.52±0.15)、(121.75±1.24)mm Hg(1 mm Hg=0.133 kPa),均高于对照组的(28.09±0.19)、(115.01±1.12)mm Hg,直肠静息压(8.05±0.13)mm Hg低于对照组的(9.42±0.20)mm Hg,肛管最大收缩时间(13.15±1.13)s长于对照组的(11.42±1.20)s,差异有统计学意义(P<0.05)。试验组低位前切除综合征评分(21.46±2.46)分低于对照组的(32.06±2.49)分,生活质量评分、结直肠癌专用生活质量评分、直肠功能评价量表评分分别为(41.13±0.16)、(51.67±0.29)、(7.66±0.36)分,均高于对照组的(32.12±0.21)、(35.11±0.23)、(5.51±0.39)分,差异有统计学意义(P<0.05)。结论综合康复指导对直肠癌术后患者效果显著,可改善患者的临床症状,降低前切除综合征发生率,值得推广。Objective To analyze the significance of comprehensive rehabilitation guidance in preventing anterior resection syndrome after rectal cancer surgery.Methods A total of 60 patients after rectal cancer surgery were randomly divided into control group and experimental group,with 30 cases in each group.The control group received routine intervention,and the experimental group received comprehensive rehabilitation guidance on the basis of the control group.Both groups were compared in terms of anal canal resting pressure,rectal resting pressure,anal canal maximum systolic pressure,anal longest contraction time,low anterior resection syndrome score,quality of life score,colorectal cancer specific quality of life score,and rectal function evaluation scale score.Results The anal canal resting pressure and anal canal maximum systolic pressure in the experimental group were(30.52±0.15)and(121.75±1.24)mm Hg(1 mm Hg=0.133 kPa),which were higher than those of(28.09±0.19)and(115.01±1.12)mm Hg in the control group;the rectal resting pressure of(8.05±0.13)mm Hg in the experimental group was lower than that of(9.42±0.20)mm Hg in the control group;the anal longest contraction time of(13.15±1.13)s in the experimental group was longer than that of(11.42±1.20)s in the control group;the differences werestatistically significant(P<0.05).The low anterior resection syndrome score of(21.46±2.46)points in the experimental group was lower than that of(32.06±2.49)points in the control group;the scores of quality of life,colorectal cancer specific quality of life and rectal function evaluation scale were(41.13±0.16),(51.67±0.29)and(7.66±0.36)points,which were higher than those of(32.12±0.21),(35.11±0.23)and(5.51±0.39)points in the control group;the differences were statistically significant(P<0.05).Conclusion Comprehensive rehabilitation guidance is effective for patients after rectal cancer surgery,and can improve the clinical symptoms of patients,reduce the incidence of anterior resection syndrome,which is worth popularizing

关 键 词：综合康复指导 预防 直肠癌术后 前切除综合征 

分 类 号：R735.37[医药卫生—肿瘤] R493[医药卫生—临床医学]