快速康复护理联合营养支持在结直肠癌根治术中的应用

Application of fast track surgery nursing combined with nutritional support in radical resection of colorectal cancer

目的探讨快速康复护理联合营养支持在结直肠癌根治术中的应用效果。方法160例行结直肠癌根治术的患者,随机分为研究组和参照组,各80例。参照组实施常规护理,研究组在常规护理基础上实施快速康复护理联合营养支持。比较两组患者胃管留置时间、进食时间、肛门排气时间、首次排便时间、术后住院时间、住院费用及术后并发症发生率。结果研究组胃管留置时间(2.42±0.88)d短于参照组的(4.01±1.26)d;研究组进食时间(7.48±2.62)h短于参照组的(66.32±5.63)h;研究组肛门排气时间(35.02±4.20)h短于参照组的(43.01±4.26)h;研究组首次排便时间(43.69±6.21)h短于参照组的(75.36±6.32)h;研究组术后住院时间(7.30±0.95)d短于参照组的(9.87±1.02)d;研究组住院费用(13.69±0.75)千元少于参照组的(15.32±4.69)千元;差异均有统计学意义(P<0.05)。研究组术后并发症发生率为30.00%(24/80),低于参照组的56.25%(45/80),差异具有统计学意义(P<0.05)。结论快速康复护理联合营养支持对结直肠癌根治术患者的术后恢复有积极作用,且并发症少,有着更好的推广价值。

Objective To discuss the practical effect of fast track surgery nursing combined with nutritional support in radical resection of colorectal cancer. Methods A total of 160 patients with radical resection of colorectal cancer were randomly divided into research group and control group, with 80 cases in each group. The control group received conventional nursing, and the research group received fast track surgery nursing combined with nutritional support based on the control group. The gastric tube indwelling time, eating time, anal exhaust time, first defecation time, postoperative hospitalization time, hospitalization expenses and postoperative complications were compared between the two groups. Results The gastric tube indwelling time(2.42±0.88) d of the research group was shorter than(4.01±1.26) d of the control group;the feeding time(7.48±2.62) h of the research group was shorter than(66.32±5.63) h of the control group;the anal exhaust time(35.02±4.20) h was shorter than(43.01±4.26) h;the first defecation time(43.69±6.21) h was shorter than(75.36±6.32) h of the control group;the postoperative hospitalization time(7.30±0.95) d was shorter than(9.87±1.02) d of the control group;the hospitalization expenses(13.69±0.75) thousand yuan was less than(15.32±4.69) thousand yuan of the control group. The difference was statistically significant(P<0.05). The incidence of postoperative complications of the research group was 30.00%(24/80), which was lower than 56.25%(45/80) of the control group, and the difference was statistically significant(P<0.05). Conclusion Fast track surgery nursing combined with nutritional support has active effect on postoperative recovery of patients with radical resection of colorectal cancer with less complications. It has better promotional value.