快速康复外科护理在结直肠癌患者围手术期中的应用(1)
【摘要】 目的：探討快速康复外科护理在结直肠癌患者围手术期中的应用效果。方法：选取2017年1-10月来本院接受手术治疗的165例结直肠癌患者为研究对象，采用非同期对照，将2017年1-5月收治的患者作为对照组(n=80)，围手术期采取常规护理；2017年6-10月的患者作为试验组(n=85)，围手术期应用快速康复外科护理。比较两组患者术后恢复情况、营养状况、并发症发生情况及护理满意度。结果：试验组术后下床活动时间、进食时间、胃管拔除时间、尿管拔除时间、引流管拔除时间、排气时间、排便时间均明显早于对照组，住院时间明显短于对照组，差异均有统计学意义(P<0.05)。试验组术后前白蛋白、白蛋白、总蛋白水平均明显低于对照组，差异均有统计学意义(P<0.05)。试验组并发症发生率低于对照组，护理满意度明显高于对照组，差异均有统计学意义(字2=6.561 1、7.345 5，P=0.010 4、0.006 7)。结论：结直肠癌患者围手术期中应用快速康复外科护理的临床效果更加显著，不仅可以加快患者术后恢复，改善营养状况，还可以减少患者术后并发症的发生，提高护理满意度。
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【关键词】 快速康复外科护理； 结直肠癌； 围手术期
Application of Rapid Rehabilitation Surgical Nursing in Perioperative Period of Colorectal Cancer Patients/ZHONG Biliu，ZHONG Yihong，CHEN Cuilin.//Medical Innovation of China，2018，15(14)：095-098
【Abstract】 Objective：To investigate the clinical effect of rapid rehabilitation surgical nursing in perioperative period of colorectal cancer patients.Method：A total of 165 patients with colorectal cancer who underwent surgical treatment in our hospital from January to October 2017 were selected as the study subjects.According to the non-contemporaneous control，80 patients admitted from January to May 2017 were used as control group who were received routine nursing in perioperative period，85 patients admitted from June to October 2017 were used as experimental group who were accepted rapid rehabilitation surgical nursing.Postoperative recovery，nutritional status， complications and nursing satisfaction of the two groups were compared.Result：The time of getting out of bed after surgery，the time of feeding，the time of extracting gastric tube，the time of extracting catheter，the time of extracting drainage tube，exhaust time and defecation time of the experimental group were significantly earlier than those of the control group，the hospitalization time was shorter than that of the control group，the differences were statistically significant (P<0.05).The levels of prealbumin，albumin and total protein in the experimental group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was significantly lower than that in the control group，nursing satisfaction was significantly higher than that in the control group，the differences were statistically significant(字2=6.561 1，7.345 5，P=0.010 4，0.006 7). Conclusion：The clinical effect of rapid rehabilitation surgical nursing in perioperative period of colorectal cancer patients is more remarkable，it can not only accelerate the postoperative recovery， improve nutritional status，but also reduce the incidence of postoperative complications and improve nursing satisfaction., 百拇医药(钟碧柳 钟乙红 陈翠琳)
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【关键词】 快速康复外科护理； 结直肠癌； 围手术期
Application of Rapid Rehabilitation Surgical Nursing in Perioperative Period of Colorectal Cancer Patients/ZHONG Biliu，ZHONG Yihong，CHEN Cuilin.//Medical Innovation of China，2018，15(14)：095-098
【Abstract】 Objective：To investigate the clinical effect of rapid rehabilitation surgical nursing in perioperative period of colorectal cancer patients.Method：A total of 165 patients with colorectal cancer who underwent surgical treatment in our hospital from January to October 2017 were selected as the study subjects.According to the non-contemporaneous control，80 patients admitted from January to May 2017 were used as control group who were received routine nursing in perioperative period，85 patients admitted from June to October 2017 were used as experimental group who were accepted rapid rehabilitation surgical nursing.Postoperative recovery，nutritional status， complications and nursing satisfaction of the two groups were compared.Result：The time of getting out of bed after surgery，the time of feeding，the time of extracting gastric tube，the time of extracting catheter，the time of extracting drainage tube，exhaust time and defecation time of the experimental group were significantly earlier than those of the control group，the hospitalization time was shorter than that of the control group，the differences were statistically significant (P<0.05).The levels of prealbumin，albumin and total protein in the experimental group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was significantly lower than that in the control group，nursing satisfaction was significantly higher than that in the control group，the differences were statistically significant(字2=6.561 1，7.345 5，P=0.010 4，0.006 7). Conclusion：The clinical effect of rapid rehabilitation surgical nursing in perioperative period of colorectal cancer patients is more remarkable，it can not only accelerate the postoperative recovery， improve nutritional status，but also reduce the incidence of postoperative complications and improve nursing satisfaction., 百拇医药(钟碧柳 钟乙红 陈翠琳)