体位康复训练对腹腔镜结肠癌患者术后胃肠功能与并发症的影响

Influence of posture intervention on the gastrointestinal function and complication in patients with colon cancer after laparoscopic cholecystectomy

目的探讨体位康复训练对腹腔镜结肠癌患者术后胃肠功能与并发症的影响。方法选择四川绵阳四〇四医院于2013年10月~2015年10月接收的被确诊为结肠癌并接受腹腔镜手术治疗的96例患者作为研究对象。采用随机数字表法分为对照组与观察组,每组各48例。对照组术后实施常规护理,观察组术后采用体位康复训练配合常规护理。比较两组患者的术后腹胀发生情况、胃肠功能恢复情况、手术情况、手术费用以及术后并发症发生率等。结果采用不同方案进行护理后,对照组术后2 d腹胀发生率显著高于观察组(P<0.05)。观察组排气时间、肠鸣音恢复时间和胃肠蠕动开始时间显著低于对照组(P<0.05)。两组患者麻醉时间、手术时间和术中出血量比较,差异无统计学意义(P>0.05)。观察组住院时间、下床时间和住院费显著低于对照组(P<0.05)。观察组并发症发生率显著低于对照组(P<0.05)。结论针对结肠癌患者腹腔镜采取体位康复训练进行护理干预疗效显著,能够明显缩短患者住院时间,降低术后腹胀发生率及相关并发症概率,改善患者的胃肠功能恢复情况,提高患者的生活质量,临床上值得继续推广。

Objective To explore the influence of posture intervention on the gastrointestinal function and complication in patients with colon cancer after laparoseopic cholecystectomy. Methods 96 patients with colon cancer from October 2013 to October 2015 in Sichuan Mianyang 404 Hospital were selected as the research objects, all of them were ran- domly divided into control group and study group by random number table, with 48 cases in each group. The control group was received conventional nursing, the study group was received posture intervention on the basis of the control group. The postoperative abdominal distension, gastrointestinal function, operation medical cost, and postoperative com- plications of two groups were copared. Results After different treatment, the rate of postoperative abdominal distension of the study group was significantly lower than that of control group （P 〈 0.05）. The postoperative anal exhaust time, bowel sound recovery time and gastrointestinal peristalsis recovery time of the study group were significantly shorter than those of control group （P 〈 0.05）. However, there were no significant differences on anesthesia time, operation time and blood loss between the two groups （P 〉 0.05）. Moreover, after intervention, the hospital stay, ambulation time and medical cost were significantly lower in study group as compared with control group （P 〈 0.05）.The complication rate of the study group were significantly lower than that of the control group （P 〈 0.05）. Conclusion The implementation of the posture intervention can significantly shorter the hospital stay, decrease the incidence of abdominal distension and complications, enhance the recovery of patients ＂ gastrointestinal function, and improve life quality of patients. It is worthy of clinical application.