手术室护理干预对改善食管癌根治术患者术后应激反应及并发症的临床分析

The clinical analysis of nursing intervention to postoperative stress response and complications in patients with radical operation of esophageal cancer

目的:分析护理干预对改善食管癌根治术患者术后应激反应及并发症的作用。方法:择取2014-05~2015-06我院收治的食管癌患者83例,随机分为对照组(n=41)和实验组(n=42)。对照组采用常规手术室护理,实验组在常规护理的基础上全程实施护理干预,比较2组患者术后的应激反应及并发症。结果:2组术后C-反应蛋白(CRP)、皮质醇、白介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)均显著升高(P<0.01),实验组明显低于对照组(P<0.01);实验组术后并发症发生率显著低于对照组(P<0.05)。结论:对食管癌根治术患者行护理干预可以有效减少术后应激反应,降低术后并发症发生率。

Objective：To study the effect of nursing intervention on postoperative stress reaction and complication in patients with esophageal cancer radical operation.Methods：83 cases of esophageal cancer treated by our hospital from May 2014 to June 2015 were randomly divided into the control group （n = 41） and the experimental group （n = 42）.The patients in control group accepted conventional operative nursing,and the experimental group patients accepted nursing intervention on the basis of the routine care.The postoperative stress reaction and complication of two groups were compared.Result：The levels of c-reactive protein （CRP）,cortisol,interleukin-6 （IL-6） and tumor necrosis factor-alpha （TNF） in two groups were all increased significantly after operation,but the values in experimental group were significantly lower than control group.Postoperative complications in experimental group were significantly lower than those in the control group （P 0.05）.Conclusion：Nursing intervention to patients with esophageal cancer radical surgery can effectively reduce postoperative stress response and the incidence of postoperative complications.