优质护理和常规护理在老年性左半结肠癌合并肠梗阻患者中的效果对比

Comparison of the Effect Between High Quality Care and Routine Care on Elderly Patients with Left Colon Carcinoma and Intestinal Obstruction

目的比较优质护理和常规护理在老年性左半结肠癌合并肠梗阻患者中的效果。方法选取该院于2013年3月—2014年3月收治的102例左半结肠癌合并肠梗阻患者,将其随机分成优质护理组与常规护理组,各51例,优质护理组患者进行优质护理,对照组患者进行常规护理,对两组患者的治疗效果与并发症进行分析比较。结果优质护理组术后造瘘口的排气时间、留置尿管时间、下床活动时间与住院时间显著少于对照组,其差异有统计学意义(P<0.05);优质护理组与常规护理组出现肺部感染、切口感染、粘连性肠梗阻等并发症的发生率分别为11.76%(6/51)、50.98%(26/51),其差异有统计学意义(P<0.05)。结论采用优质护理对于老年性左半结肠癌合并肠梗阻患者具有重要意义,有助于患者的恢复,改善其预后,值得临床推广应用。

Objective To compare the effect between high quality care and routine care on elderly patients with left colon carcinoma and intestinal obstruction. Methods 102 patients with left colon carcinoma complicated by intestinal obstruction admitted in our hospital from March 2013 to March 2014 were selected and randomly divided into high quality care group and the routine care group with 51 patients in each. The high quality care group was given the high quality care and the control group was given the routine care. The therapeutic effect and complications of the two groups were analyzed and compared. Results The postoperative stoma exhaust time, indwelling catheter time, ambulation time and hospital stay of the high quality care group was significantly less than that of the control group, the difference was statistically significant（P〈0.05）; The incidence of lung infections, wound infection, adhesive ileus, and other complications in the high quality care group and the routine care group was 11.76%（6/51）, 50.98%（26/51）, respectively, the difference was statistically significant（P〈0.05）. Conclusion For elderly patients with left colon carcinoma and intestinal obstruction, high quality care is of great significance, which is conducive to the recovery of the patients and can im-prove the prognosis, so it is worthy of clinical promotion and application.