快速康复护理在腹腔镜结肠癌手术中的应用效果观察

Efficacy of ERAS based nursing in patients undergoing laparoscopic surgery for colon cancer

目的探讨对行腹腔镜下切除术治疗的结肠癌患者应用快速康复护理干预的临床效果。方法选取2019年6月至2021年1月间商洛市中心医院收治住院的117例结肠癌患者,根据护理方式的不同分为常规组(实施传统常规护理)与观察组(实施快速康复护理),常规组入组患者62例,观察组入组患者55例。观察并比较两组患者的胃肠功能恢复情况、术后住院时间、疼痛程度以及术后并发症发生情况。结果观察组的术后初次排气时间、初次排便时间、术后住院时间均短于常规组,差异均有统计学意义(均P<0.05)。观察组患者术后6h、12h、24h、48h的疼痛评分均低于常规组,且术后不良反应及并发症发生率(12.7%)低于常规组(29.0%),差异均有统计学意义(均P<0.05)。结论对行腹腔镜下切除术治疗的结肠癌患者应用快速康复护理,可促进患者胃肠功能恢复,减轻患者疼痛感受,减少术后不良反应和并发症的发生。

Objective To explore the clinical efficacy of enhanced recovery after surgery(ERAS)-based nursing in patients undergoing laparoscopic surgery for colon cancer.Methods A retrospective analysis of 117 patients with colon cancer admitted to Shangluo Central Hospital were selected from June 2019 to January 2021.They were divided into a conventional nursing group(conventional nursing care)and an observation group(ERAS nursing)according to different nursing methods.Sixty-two patients were enrolled in the conventional group and 55 patients were enrolled in the ERAS group.The recovery of gastrointestinal function,length of hospital after the surgery,degree of pain,and the occurrence of postoperative complications were observed and compared between the two groups.Results The time to first farting after the surgery,the time to first defecation and the length of postoperative hospital stay were shorter in the observation group than in the conventional nursing group(all P<0.05).Pain scores were lower in the observation group than in the conventional nursing group at 6 h,12 h,24 h and 48 h after the surgery(P<0.05),and the incidence of postoperative adverse reactions and complications is lower in the observation group(12.7%)than in the conventional nursing group(29.0%).Conclusion The nursing based on ERAS can promote fast recovery of gastrointestinal function,relieve pain,and reduce postoperative adverse reactions and complications in patients undergoing laparoscopic resection for colon cancer.