快速康复外科护理在老年结直肠癌腹腔镜手术患者围术期的应用效果分析

Efficacy Analysis of Rapid Rehabilitation Surgery Nursing Applied at Perioperation of Senior Colorectal Cancer Patients Undergoing Laparoscopic Surgery

为探讨快速康复外科护理在老年结直肠癌腹腔镜手术患者围术期的应用效果,将于我院拟行腹腔镜手术的82例患者随机分为观察组和对照组,各41例,观察组围术期接受快速康复外科护理干预,对照组接受常规护理干预。比较2组患者术后恢复情况、并发症发生情况及应激反应指标水平。结果显示,观察组术后首次排气时间、排便时间、进食时间及住院时间均明显短于对照组,P <0.05;观察组术后并发症发生率明显低于对照组,P <0.05;观察组术后第3天白介素-6(IL-6)、C反应蛋白(CRP)水平均明显低于对照组,P <0.05。结果表明,对老年结直肠癌腹腔镜手术患者围术期实施快速康复外科护理干预,可促进其术后胃肠功能恢复,减少并发症,缩短住院时间,而且可以减轻机体应激反应。

This study was to investigate the application efficacy of rapid rehabilitation surgery nursing(RRSN)applied at perioperation of senior colorectal cancer patients undergoing laparoscopic surgery(LS),randomly divided 82 patients to be subject to LS into observation group(41 cases,received above nursing intervention)and control group(41 cases,still routine one),then compared patients’postoperative recovery status,complication incidence,and the levels of stress response norms between the two groups.As results,in the time to first anal exhaust,of defecation,of eating,and of hospitalization observation group was all significantly shorter than control group(all,P<0.05);Also,in complication incidence,so lower(P<0.05);in the levels of IL-6 and CRP on the 3 rd day after surgery,so lower(P<0.05).Results show that RRSN on above senior patients can promote their postoperative gastrointestinal tract function recovered,reduce complication occurence,shorten hospitalization time,and relieve bodys’stress response.