腹直肌锻炼操对结直肠癌合并2型糖尿病患者术后切口愈合影响的研究

Effect of rectus abdominis exercise on postoperative wound healing of type 2 diabetes mellitus complicated with colorectal cancer

目的探讨腹直肌锻炼操对结直肠癌合并2型糖尿病患者术后切口愈合的影响。方法将2018年2月至2019年3月接受结直肠癌合并2型糖尿病术后常规护理的103例患者设为对照组;2019年4月至2020年12月在对照组基础上接受腹直肌操锻炼的102例患者设为观察组。比较两组锻炼前后脉率、血氧饱和度变化值,以及患者切口并发症的发生率、空腹血糖、切口愈合时间、术后住院时间、切口愈合情况。结果观察组锻炼后脉率增加、SPO_(2)无变化,两组患者切口并发症的发生率无明显差异(P>0.05);观察组空腹血糖降低,切口愈合时间、术后住院时间缩短且切口愈合质量优于对照组,差异有统计学意义(P<0.05)。结论腹直肌锻炼操简单易行,可改善结直肠癌合并2型糖尿病患者术后血糖控制情况,同时促进切口愈合,缩短住院时间,促进患者的康复。

Objective To investigate the effect of rectus abdominis exercise on postoperative incision healing of type 2 diabetes mellitus combined with colorectal cancer.Methods From February 2018 to March 2019,103 patients with colorectal cancer combined with type 2 diabetes undergoing postoperative nursing routine were selected as the control group.From April 2019 to December 2020,102 patients who received rectus abdominis exercise on the basis of the control group were selected as the observation group.The changes of pulse rate and blood oxygen saturation before and after exercise in the observation group were compared.The incidence of incision complications,fasting blood glucose,incision healing time,hospital stay and incision healing were compared between the two groups.Results The pulse rate was increased and SPO_(2) was not changed in the observation group after exercise,and the incidence of incision complications was not significantly different between the two groups(P>0.05).The fasting blood glucose of the observation group was decreased,the wound healing time and postoperative hospital stay were shortened,and the wound healing quality of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Rectus abdominis exercise is simple and feasible,can improve postoperative blood glucose control of patients with colorectal cancer complicated with type 2 diabetes,promote incision healing,shorten hospital stay,and promote the recovery of patients.