协同式早期运动干预在腹腔镜结直肠癌手术患者中的应用

目的 探讨协同式早期运动干预在腹腔镜结直肠癌手术患者中的应用效果。方法 使用随机数字表法将2020年5月-2021年5月于笔者所在医院进行腹腔镜结直肠癌手术的84例患者分为对照组和干预组,各42例。对照组术后采用常规运动干预,干预组术后采用协同式早期运动干预。比较2组术后恢复情况、身体状况、术后并发症发生情况。结果 干预组首次下床活动时间、术后排气时间、术后排便时间均早于对照组(χ²=11.823,P=0.001;χ²=4.687,P=0.001;χ²=7.611,P=0.001),术后7d干预组的多维度疲劳量表评分低于对照组(t=2.000,P=0.049),杜克活动指数高于对照组(t=2.256,P=0.027),2组术后并发症发生率比较,差异无统计学意义(χ²=0.343,P=0.558)。结论 协同式早期运动干预能够促进腹腔镜结直肠癌手术患者术后恢复,改善身体状况,值得推广应用。

Application of collaborative early-stage exercise intervention in patients undergoing laparoscopic colorectal cancer surgery

Objective To explore the application of collaborative early-stage exercise intervention in patients undergoing laparoscopic colorectal cancer surgery. Methods Totally 84 patients undergoing the laparoscopic colorectal cancer surgery in our hospital between May 2020 and May 2021 were selected and randomly divided into a control group and an intervention group, each of 42, using a random number table. The control group was given routine exercise intervention after the operation, while the intervention group was provided with the collaborative early-stage exercise intervention. The postoperative recovery, physical condition and postoperative complications were compared between the two groups. Results The first ambulation time, as well as the postoperative exhaust and defecation time of the intervention group was significantly earlier than that of the control group(χ²=11.823,P=0.001;χ²=4.687,P=0.001;χ²=7.611,P=0.001). Seven days after the surgery, the scores of multidimensional fatigue inventory-20( MFI-20) of the intervention group was significantly lower than that of the control group (t=2.000,P=0.049). The Duke activity status index(DASI) of the former was higher than the latter(t=2.256,P=0.027). However, no significant differences were observed in the incidence of postoperative complications between the intervention and control group(χ²=0.343,P=0.558). Conclusion The collaborative early exercise intervention can promote the recovery of patients undergoing laparoscopic colorectal cancer surgery and improve their physical condition. Therefore, it is worthy of application in clinical practice.