加速康复护理在基层医院结直肠癌患者围手术期中的应用

The application of accelerated rehabilitation nursing in the perioperative period of colorectal cancer patients in grass-roots hospitals

目的探讨加速康复护理对基层医院结直肠癌手术患者的影响。方法选取本科室2016年1月至2017年9月共42例结直肠癌患者随机分为观察组(19例)和对照组(23例),围手术期分别实施加速康复护理措施与传统护理措施。观察组术前一天进食全流饮食,术前6 h禁食固体食物,术前2 h在专业护理人员指导与监督下口服200 ml电解质液体,然后禁饮,不留置胃管,不常规留置尿管,术后第一天指导咀嚼口香糖促进肠蠕动恢复,肛门排气后开始进食。对照组术前三天进食全流饮食,术前12 h禁饮食,常规留置胃管、尿管,术后待肠蠕动自然恢复后进食。结果观察组患者术后住院天数平均缩短3.3 d;首次排气时间平均提前16.4 h。结论加速康复护理较传统护理在基层医院实施结直肠癌根治术患者围手术期具有显著优越性,显著提升了患者康复速度。

Objective To explore the effect of accelerated rehabilitation nursing on patients with colorectal cancer surgery in primary hospitals. Methods from January 2016 to September 2017, 42 colorectal cancer patients were randomly divided into observation group(19 cases) and control group(23 cases). Observe group eating liquid diet the day before the operation, fasting solid food 6 hours before the operation, 2 hours before the operation drink200 ml liquid electrolyte under the guidance of professional nursing staff, then no drink, not indwelling gastric tube and catheter routinely, the first day after the operation chewing gum to promote intestinal peristalsis, start to eat after the passage of gas by anus. The control group had liquid diet three days before the operation, no diet 12 hours before the operation, indwelling gastric tube and urinary catheter routinely, no diet until the natural recovery of intestinal peristalsis after the operation. Results The average length of hospitalization of the patients in the observation group was shortened by 3.3 days, and the average time of the first passage of gas by anus was16.4 hours earlier than control group. Conclusion Accelerated rehabilitation nursing is superior to traditional nursing in perioperative period of colorectal cancer surgery in primary hospitals, and significantly improves the recovery speed of patients.