快速康复外科在老年结肠癌围手术期护理中的应用

Application of Fast-track Surgery in Perioperative Period Nursing of Aged Patients with Colon Cancer

目的:探讨快速康复外科(fast-track surgery,FTS)在老年结肠癌围手术期护理中应用的临床效果。方法:将92例年龄大于65岁的结肠癌患者随机分为FTS组与对照组,分别给予FTS护理措施和传统护理措施,比较2组患者术后恢复情况、营养状况、并发症发生情况等。结果:与传统护理措施相比较,FTS护理组术后患者胃肠道功能恢复时间明显缩短,术后营养状况恢复较快,术后并发症发生率明显降低。FTS护理组老年患者的住院时间和住院费用均较对照组显著降低。结论:FTS应用于老年患者结肠癌围手术期的护理是安全、有效的。其加快了老年患者的术后康复、减轻了患者的痛苦,降低术后并发症的发生,值得推广应用。

Objective： To investigate the clinical effects of fast-track surgery（FTS） in perioperative period nursing of aged patients with colon cancer. Methods： Ninety-two aged patients（more than 65 years old） with colon cancer were randomly divided in to FTS group and control group, which were given FTS nursing and traditional nursing respectively. Postoperative recovery, postoperative nutritional status and the postoperative complication rates were compared between these two groups. Results： Compared with the control group, FTS nursing group had earlier restoration of bowel functions, faster recovery of postoperative nutritional status, and significantly lower rate of postoperative complications. Conclusion： Nursing care of FTS application inelderly patients with colon cancer in perioperative period is safe and effective. The speeding up of elderly patients with postoperative rehabilitation, reduce the pain of patients, reduce the incidence of postoperative complications, it is worthy of popularization and application.