快速康复理念在腹腔镜手术治疗结肠癌患者护理中的应用及炎性反应变化分析

Application of fast track surgery in the nursing of colon cancer patients with laparoscopic surgery and analysis of changes of inflammatory response

目的:分析快速康复理念对腹腔镜手术治疗的结肠癌患者机体炎性反应的影响。方法:选取2019年1月-2020年4月行腹腔镜手术治疗的结肠癌患者66例,随机分为两组,各33例。试验组采用快速康复理念;对照组采用常规护理。比较两组干预效果。结果:试验组进食时间、首次排便时间、肠鸣音恢复时间、首次排气时间均低于对照组,差异有统计学意义(P<0.05);试验组护理后白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、高敏C反应蛋白(hs-CRP)等炎性反应指标水平均低于对照组,差异有统计学意义(P<0.05)。结论:对腹腔镜手术治疗的结肠癌患者应用快速康复护理理念,能够促进患者机体恢复速度加快,改善机体应激,帮助患者尽快出院。

Objective:To analyze the effect of fast track surgery on the inflammatory response of colon cancer patients with laparoscopic surgery.Methods:From January 2019 to April 2020,66 cases of colon cancer patients who underwent laparoscopic surgery were enrolled,they were randomly divided into two groups with 33 cases in each group.The experimental group adopted fast track surgery.The control group adopted routine nursing.The intervention effects between the two groups was compared.Results:The time of eating,the time of first defecation,the time of recovery of bowel sounds and the time of first exhaust of experimental group were lower than those of control group,the differences were statistically significant(P<0.05).After nursing,the levels of IL-6,TNF-α,hs-CRP and other inflammatory response indexes in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of fast track surgery for colon cancer patients with laparoscopic surgery can accelerate the body recovery rate,improve the stress and help the patients to be discharged as soon as possible.