低位直肠癌保肛手术的围术期临床护理

Perioperative nursing of low rectal cancer patients undergoing anus preserving operation

目的探讨低位直肠癌保肛手术围术期的临床护理。方法选取80例行低位直肠癌保肛手术的患者,按照随机数表法分为观察组和对照组,对照组采用传统常规护理,观察组采用快速康复外科护理,观察2组患者术后恢复情况、术后并发症以及护理后SDS、SAS、VAS评分。结果 2组手术时间差异无统计学意义(P>0.05),观察组首次下床时间、首次排气时间、首次排便时间、住院时间均优于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率5.00%(2/40),低于对照组的30.00%(12/40),差异具有统计学意义(P<0.05);观察组SDS、SAS、VAS评分优于对照组,差异有统计学意义(P<0.05)。结论在低位直肠癌保肛手术患者围术期实施快速康复外科护理干预,能减少患者术后并发症,缩短恢复时间,有利于预后,提高疗效。

Objective To investigate the perioperative nursing of low rectal cancer patients undergoing anus preserving operation. Methods A total of 80 patients with rectal cancer surgery in our hospital were randomly divided into observation and control groups. The control group used conventional nursing care,observation group strengthen nursing on the basis of the control group. Postoperative recovery,postoperative complications,postoperative care,SDS,SAS,VAS score were observed in the two groups. Results There was no significant difference in operation time between two groups. The first bed-off time,the first exhaust time,the first defecation time and the length of stay in hospital were better than those in the control group（ P 〈 0. 05）; Total complication rate of observation group was 5. 00%（ 2 /40）,which was less than 30. 00%（ 12 /40） in the control group（ P 〈0. 05）; SDS,SAS,VAS scores in the observation group were better than the control group（ P 〈0. 05）. Conclusion Perioperative nursing intervention can reduce the postoperative complications and shorten recovery time,which is beneficial to the prognosis and therapeutic effect.