快速康复干预模式对围手术期宫颈癌患者疼痛及凝血指标的影响  

Effect of rapid rehabilitation intervention model on pain and coagulation indexes in perioperative cervical cancer patients

作　　者：茅卉 刘瑞雪[1] 王瑞景 MAO Hui;LIU Ruixue;WANG Ruijing(Department of Gynecology,He’nan Cancer Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南省肿瘤医院妇科,郑州450000

出　　处：《癌症进展》2023年第18期2082-2085,共4页Oncology Progress

摘　　要：目的探讨快速康复干预模式对围手术期宫颈癌患者疼痛及凝血指标的影响。方法将150例宫颈癌患者按干预方式的不同分为对照组(n=75)和观察组(n=75)。对照组患者采取常规干预,观察组患者在对照组的基础上采取快速康复干预模式。比较两组患者术后恢复情况、疼痛程度、凝血功能以及并发症发生情况。结果观察组患者术后首次排气时间、术后首次排便时间、术后肠胃功能恢复时间、术后首次进食时间及下床活动时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。术后12、24 h和术后3、5、7天,观察组患者视觉模拟评分法(VAS)评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)均延长,纤维蛋白原(FIB)水平均降低,且观察组患者PT、APTT、TT均长于对照组,FIB水平低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论快速康复干预模式可促进围手术期宫颈癌患者术后康复,减轻患者术后疼痛,有利于患者凝血功能的恢复,且可降低患者并发症发生率,有利于患者预后。Objective To investigate the effect of rapid rehabilitation intervention model on pain and coagulation indexes in perioperative cervical cancer patients.Method A total of 150 cervical cancer patients were divided into control group(n=75)and observation group(n=75)according to different intervention methods.Patients in the control group received conventional intervention,while patients in the observation group received rapid rehabilitation intervention model based on the control group.The postoperative recovery,pain level,coagulation function,and occurrence of complications were compared between the two groups.Result The first postoperative flatus time,the first postoperative defecation time,the postoperative gastrointestinal function recovery time,the first postoperative eating time and the get out of bed time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).At 12,24 hours,and 3,5,7 days after the surgery,the visual analogue scale(VAS)scores of in the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the prothrombin time(PT),activated partial thromboplastin time(APTT),and thrombin time(TT)prolonged,and the levels of fibrinogen(FIB)decreased in both groups,and the PT,APTT,and TT of the observation group were longer than those of the control group,the FIB level was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The rapid rehabilitation intervention model is conducive to the recovery of patients’coagulation function as it could promote postoperative recovery of perioperative cervical cancer patients and alleviate postoperative pain.The method would also reduce the risk of complications and is benefici

关 键 词：宫颈癌 快速康复干预模式 疼痛 凝血指标 

分 类 号：R737.33[医药卫生—肿瘤]