直肠癌患者肠道微生态与术后腹泻的护理

Intestinal microecology and nursing care of postoperative diarrhea patients with rectal cancer

目的对直肠癌前切除术后腹泻的肠道微生态诱因及护理方面进行了回顾和总结,讨论了直肠癌前切除术后发生腹泻的原因、特点和护理方法。方法对30例行直肠癌前切除术患者,术前检测肠道微生态指标,术后观察发生腹泻情况,并在采取有效治疗基础上,针对性的给予接触隔离护理,健康教育及心理护理等措施。结果术后发生腹泻的患者13例,腹泻率43.3%。78.2%的直肠癌患者在术前的肠道微生态检查中就已经出现球杆比例失常,甚至倒置。采用接触隔离护理能够有效缩短腹泻持续时间。结论正确评估并根据患者肠道微生态情况对腹泻进行针对性的预防、治疗和护理是治疗直肠癌前切除术后腹泻的重要策略。

Objective To discuss the microecological causes, characteristics and nursing methods of diarrhea after anterior resection of rectal cancer. Methods Thirty patients with rectal cancer who received anterior resection of rectal cancer were enrolled. Upon admission, the intestinal microecological indicators were meas- ured. The incidence of diarrhea after operation were observed during the hospitalization period. On the basis of effective treatment, targeted contact isolation nursing, health education and psychological nursing were applied. Results Diarrhea occurred in 13 cases （43.3%） . 78.2% of the patients had developed intestinal disorder before the operation. The application of contact isolation care had effectively shorten the duration of diarrhea. Conclusion Targeted prevention and nursing care based on the patients intestinal microecological con- ditions are very important supplements for the treatment of diarrhea after anterior resection of rectal cancer.