57例老年结肠癌并发肠梗阻患者围手术期护理分析

Analysis of perioperative nursing for 57 cases of old patients with colon cancer complicated by intestinal obstruction

目的探讨老年结肠癌并发肠梗阻患者围手术期有效护理方式。方法对57例老年结肠癌合并肠梗阻患者(治疗组)进行术前、术中和术后有效护理,观察护理疗效,并与同期49例年龄较小的患者(对照组)比较术后恢复情况。结果治疗组术后肺部感染、粘连性肠梗阻、切开感染发生率分别为7.02%、5.26%、8.78%,对照组为10.0%、5.0%、10.0%,两组比较差异有统计学意义(P>0.05);无手术死亡,所有患者均好转出院。结论对老年结肠癌并发肠梗阻患者的护理应做到术前积极准备,术后密切观察,积极防治并发症,可取得较好的护理效果。

Objective To investigate the effective way of perioperative nuring for old patients with colon cancer complicated by intestinal obstruction.Methods 57 old patients with colon cancer complicated by obstruction were as the therapeutic treatment group for performing intraoperative and postoperative care.To observe the care efficacy,and to give the effectively preoperative,intraoperative and postoperative nursing.To investigate the postoperative recovery,and compare with the control group including 49 patients younger than the therapeutic group.Results The incidence rate of postoperative pulmonary infection,adhesive intestinal obstruction,and cut infection were 7.02%,5.26%,and 8.78%,in the treatment group and 10.0%,5.0%,and 10.0% in the control group respectively.Comparing 2 groups,the difference was not statistically significant（P〈0.05）.There was no operative mortality.All patients were discharged from hospital after treatment.Conclusion With preoperative active preparations,postoperative close observation,and prevetion of complications,the old patients with colon cancer complicated by intestinal obstruction can get better nursing results.