加速康复外科护理在直肠癌前切除病人的应用研究

The acceleration recovery surgical department nurses in front of Rectal Cancer excises patient＇s applied research

目的：探讨直肠癌前切除术采用加速康复外科护理的安全性及疗效.方法：2008年10月至2010年1月我科对20例直肠癌行根治性前切除手术病人采用加速康复外科护理,同期随机选择23例采用常规围手术期护理方法进行对照.比较观察两组护理方法差异,术后恢复情况及护理相关并发症等.结果：加速康复外科护理方案比常规围手术期护理方法相比,腹腔引流管、尿管平均放置时间,术后首次进食时间、肛门首次排气和下床活动时间均明显提早（P〈0.05）,术后住院时间缩短（P〉0.05）.两组术后并发症发生无显著性差异.结论：围手术期加速康复外科护理理念在直肠癌行根治性前切除病人中应用具安全有效,利于病人的早期康复.

Objective：To investigate the effectiveness and safety of fast track nursing care in perioperative period of rectal cancer patients receiving anterior resection. Methods： Between Oct. 2007 and Jan. 2009, Forty-three rectal cancer patients undergoing anterior resection were recruited for this comparative study. Twenty patients using fast track nursing care, Twenty -- three patients receiving traditional nursing methods. Nursing protocols.postoperative recovery and complications related to nursing care were compared between the two groups. Results： Fast track surgery care group was associated with a significantly shorter placement of abdominal drainage tube and catheter, earlier first pas- sage of flatus,time to food-taking and ambulation（P〈0.05）, postoperative hospital stay was shorter（P〉0.05）. There were no significant differences in postoperative complications. Conclusion Fast track nursing care was feasible and effective in rectal cancer patients undergoing anterior resection, it is beneficial to the postooerative patients with earlier recovery.