结直肠癌患者术后初次下床活动状况的研究

Study on First Ambulation Status of Patients with Colorectal Cancer After Operation

【目的】探讨结直肠癌患者术后初次下床活动的状况，分析其相关因素。【方法】选取行择期结直肠癌手术的患者100例，根据早期下床的完成与否将患者分为完成组和未完成组，采用一般情况的调查表、术后早期下床活动的记录表、疼痛的自评量表及特异状况的问卷等对患者的术后首次下床活动状况进行观察及分析。【结果】72例患者完成本研究所规定的初次下床活动，28例患者未完成，所有患者术后初次下床活动时间为术后（76．01±11．24）h ，首次下床活动步行平均38 m ，两组患者的性别比、年龄比较无统计学差异（ P ＞0．05）；手术部位、平均初次下床活动时间（68．7±8．9vs89．5±9．3）比较有统计学差异（P ＜0．05）。多因素分析显示头晕和活动疼痛强度对首次下床活动影响较大。【结论】结直肠癌患者术后首次下床活动时要密切观察伤口疼痛程度及是否有头晕现象，确保患者的安全。

[Objective] To explore the status of first ambulation of patients with colorectal cancer ,and to analyze the related factors .[Methods]Totally 100 patients undergoing elective surgery for colorectal cancer were enrolled in the stud-y .According to the accomplishment status of early ambulation ,all patients were divided into accomplishment group and non-accomplishment group .General condition questionnaire ,the log of postoperative early ambulation ,pain self-rating scale and specific condition questionnaire were used to observe and analyze first ambulation status .[Results] Among all patients ,82 patients completed first ambulation and 28 patients did not complete . .The time of first postoperative ambu-lation of all patients after operation was （76 .01 ± 11 .24）h ,and the distance of first walk was 38m .There was no signifi-cant difference in sex ratio and age ratio （ P〉0 .05） .There was significant difference in operative site and average time of initial ambulation .Statistical analysis showed that dizziness and pain intensity had greater impact on initial ambulation .[Conclusion]When the patients with colorectal cancer do the initial ambulation after operation ,wound pain and dizziness should be closely observed to ensure the safety of patients .