快速康复外科理念应用于直肠癌手术围术期护理中的效果

Effect of fast track surgery in perioperative nursing care for patients with rectal cancer

目的评估快速康复外科理念应用于直肠癌手术围术期护理中的临床效果。方法随机选择2013年1月至2016年1月我院收治的80例行直肠癌手术患者作为研究对象,按照随机数字抽取表法将患者分为对照组和观察组,各40例,其中对照组采用常规围手术期护理,观察组患者在常规围手术期护理的基础上实施快速康复外科理念下的围术期护理,对比两组患者的住院时间、住院费用、并发生发生率、应激反应率等。结果观察组手术后的住院时间和住院费用均显著少于对照组(P<0.05);观察组患者并发症发生率为2.50%,对照组患者并发症发生率为17.50%,两组比较差异具有统计学意义(P<0.05);观察组患者应激反应率为0.00%,对照组患者应激反应率为15.00%,两组比较差异具有统计学意义(P<0.05)。结论快速康复外科理念应用于直肠癌手术围术期护理工作中,能显著缩短术后住院时间,促进患者康复。

Objective To evaluate the clinical effect of fast track surgery in perioperative nursing care for patients with rectal cancer. Methods Eighty cases of patients with rectal cancer surgery admitted in our hospital from January 2013 to January 2016 were randomly selected as the research objects. All the patients were divided into control group and observation group according to the random number method, with 40 cases in each group. The control group was treated with routine nursing during operation period, and the observation group received routine nursing combined with fast track surgery nursing. The hospitalization time, cost of hospitalization, the occurrence rate of complications and emergency response rate of the two groups were compared. Results The postoperative hospitalization time and cost of hospitalization in the obeservation group were significantly less than those in the control group （P〈0.05）. The complications incidence rate in observation group and control group were 2.50%, 17.50% respectively, the difference between two groups was statistically significant （P〈0.05）. The stress response rate of the observation and control group were 0.00%, 15.00% respectively, the difference between two groups was statistically significant （P〈0.05）. Conclusion The fast track surgery in perioperative nursing care for patients with rectal cancer surgery can significantly reduce postoperative hospitalization time and promote rehabilitation.