优化肠道管理方案在接受食管癌根治术患者术后康复中的作用

Effects of Optimizing Intestinal Management Scheme in Postoperative Rehabilitation in Patients with Radical Surgery of Esophageal Cancer

目的探讨优化肠道管理方案在接受食管癌根治性术患者术后康复中的作用。方法选取2018年8月至2020年8月在河南省人民医院住院的80例接受食管癌根治术治疗的患者作为研究对象,根据随机数字表法分为对照组和观察组,各40例。对照组接受常规术后护理;观察组在对照组基础上接受优化肠道管理方案。比较两组患者术后1周便秘症状、便秘发生率、通便药物使用率及排便时头痛发生率、负面情绪状态和生活质量。结果干预后观察组排便困难、粪便性状、排便时间、下坠及不尽感、排便次数及腹胀感评分均低于对照组(P<0.05),观察组便秘发生率、通便药物使用率、排便时头痛发生率均低于对照组(P<0.05)。两组干预后的焦虑和抑郁评分低于干预前,干预后的生活质量评分高于干预前,差异有统计学意义(P<0.05)。结论术后实施优化肠道管理方案有利于接受食管癌根治术患者的肠道功能恢复,减少便秘、排便时头痛等并发症的发生,改善患者负面情绪及生活质量。

Objective To explore the effects of optimizing intestinal management scheme in postoperative rehabilitation in patients with radical surgery of esophageal cancer.Methods A total of 80 patients with radical surgery of esophageal cancer who were treated in Henan Provincial People’s Hospital from August 2018 to August 2020 were collected,and they were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine postoperative care,and the observation group received the optimized intestinal management plan on the basis of the control group.The symptoms of constipation,the rate of constipation,the utilization rate of laxative drugs,the rate of headache during defecation,the negative emotional state and quality of life were compared between the two groups.Results After intervention,the scores of poor defecation,fecal trait,defecation time,falling endant,inexhaustible,podefecation and bloating sensation of the observation group were lower than those of the control group(P<0.05).The rate of conconstipation,generication utilization and headache incidence during defecation of the observation groupwere lower than those of the control group(P<0.05).After intervention,the scores of negative emotional anxiety and depression were lower than those of before intervention,and the score of quality was higher than before intervention.Conclusion The intestinal management optimization scheme can improve the intestinal function in patients with radical esophageal cancer,reduce constipation,headache and other complications during defecation,and improve the negative emotional state and quality of life of patients.