腹腔镜结直肠癌根治术手术室护理配合及效果观察

Nursing cooperation and effect observation in the operation room for laparoscopic radical resection of colorectal cancer

目的探讨在临床应用腹腔镜治疗结直肠癌患者的过程中,应用手术室护理配合措施的护理效果,为临床肿瘤手术治疗奠定基础。方法 76例结直肠癌患者,根据护理方式的不同分为对照组及试验组,各38例。对照组采用常规手术室及术后护理措施,试验组采用手术室护理配合措施。观察比较两组患者术中(出血情况、手术时间)及术后(排气时间、导管留置时间及院内治疗时间)指标和并发症发生情况。结果试验组患者的术中(出血情况、手术时间)及术后(排气时间、导管留置时间及院内治疗时间)指标均显著优于对照组,差异具有统计学意义(t=12.202、10.151、6.146、19.060、6.615,P<0.05)。试验组患者的并发症发生率为5.3%(2/38),显著低于对照组的21.1%(8/38),差异具有统计学意义(P<0.05)。结论临床应用腹腔镜治疗结直肠癌患者的过程中,应用手术室护理配合措施可显著改善术中、术后指标,并显著降低了并发症的发生几率,应广泛推广。

Objective To discuss the nursing effect of nursing cooperation in the operation room for laparoscopic radical resection of colorectal cancer, and lay foundation for the surgical treatment of clinical tumors. Methods A total of 76 colorectal cancer patients were divided by different nursing methods into control group and experimental group, with 38 cases in each group. The control group received conventional operation room and postoperative nursing measures, and the experimental group received nursing coordination measures in operation room. Observation and comparison were made on intraopetative （bleeding, operation time） and postoperative （exhaust time, catheter retention time, and hospital treatment time） indicators and occurrence of complications between two groups. Results The experimental group had obviously better intraoperative （bleeding, operation time） and postoperative （exhaust time, catheter retention time, and hospital treatment time） indicators than the control group, and their difference was statistically significant （t=12.202, 10.151, 6.146, 19.060, 6.615, P〈0.05）. The experimental group had obviously lower incidence of complications as 5.3% （2/38） than 21.1% （8/38） in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Clinical application of laparoscopic treatment of colorectal cancer patients, operation room nursing cooperation measures can significantly improve intraoperative and postoperative indicators, and significantly reduce the incidence of complications. This method should be widely promoted.