本文關(guān)鍵詞：快速康復(fù)外科護(hù)理措施在結(jié)直腸癌患者圍術(shù)期的應(yīng)用效果，由筆耕文化傳播整理發(fā)布。

快速康復(fù)外科護(hù)理措施在結(jié)直腸癌患者圍術(shù)期的應(yīng)用效果

Perioperative Clincal Application and Nursing Investigation of Fast Track Surgery in Patients Undergoing Colorectal Surgery

[1] [2] [3] [4] [5]

WEN Da-cui, ZHAO Gao-ping , YANG Mao-zhu, WANG Kang, HU Yang （Department of General Surgery, Sichuan Provincial People＇ s Hospital, Chengdu 610072, China）

四川省人民醫(yī)院普外科,成都610072

文章摘要：目的探討快速康復(fù)外科護(hù)理措施在結(jié)直腸癌患者圍術(shù)期的應(yīng)用效果。方法將132例結(jié)直腸癌手術(shù)患者按住院號隨機(jī)分為快速康復(fù)護(hù)理組和傳統(tǒng)護(hù)理組，應(yīng)用快速康復(fù)外科護(hù)理措施對快速康復(fù)護(hù)理組患者采取有效的護(hù)理措施，比較兩組臨床治療效果和并發(fā)癥的發(fā)生情況。結(jié)果快速康復(fù)護(hù)理組術(shù)前未安置胃管，未常規(guī)行全腸道灌洗。與傳統(tǒng)護(hù)理組比較，該組患者術(shù)后尿管留置時間、進(jìn)食時間、肛門排氣時間、首次排便時間均明顯縮短（P〈0．01），術(shù)后住院時間及住院費(fèi)用明顯減少（P〈0．05）；該組總體并發(fā)癥明顯少于傳統(tǒng)護(hù)理組（P〈0．05），其中尿路感染、咽喉炎／肺部感染、傷口感染／裂開等并發(fā)癥發(fā)生率少于傳統(tǒng)護(hù)理組（P〈0．05）。結(jié)論快速康復(fù)外科護(hù)理措施應(yīng)用于結(jié)直腸癌患者的圍術(shù)期能明顯減輕患者痛苦，顯著減少并發(fā)癥的發(fā)生，，加速患者術(shù)后康復(fù)，臨床應(yīng)用安全、可行。

Abstr：Objective To investigate the feasibility of applying the principle of fast tract surgery to the patients undergoing colorectal surgery in the perioperative period. Methods One hundred and thirty-two patients undergoing colorectal surgery were randomly divided into the group of fast tract nursing （FTN） and the group of conventional nursing （CN）. Effective measures of nursing care were taken to the FTN group with nursing measures of fast tract surgery. Clinical therapeutic efficacy and complications were compared between the two groups. Results No nasogastric tube introduction and routine bowel preparation were adopted in the FTN group. Compared to the CN group, the FTN group had significant shorter time of indwelling urethral catheter, first feeding via alimentary tract,first exhaust and defecation （ P〈0.01）. The hospitalization time and expense in the FTN group were shorter and lower than in the CN group（ P〈0.05）. The overall complication rate was lower in the FNT （ P 〈0.05） ,especially in urinary infection,pharyngolaryngitis/pulmonary infection and wound infection/rupture （ P 〈0.05）. Conclusion It is clinically feasible to ap- ply the principle of fast tract surgery to the nursing care of the colorectal surgery patients because it can significantly release pains, reduce complication rate and accelerate the recovery after surgery.

文章關(guān)鍵詞：

Keyword：:fast tract surgery colon and rectum perioperatiue period nursing measures

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  本文關(guān)鍵詞：快速康復(fù)外科護(hù)理措施在結(jié)直腸癌患者圍術(shù)期的應(yīng)用效果，由筆耕文化傳播整理發(fā)布。