加速康复外科护理在直肠癌前切除患者中的应用

目的探讨直肠癌前切除术采用加速康复外科（FTS）护理的安全性及疗效。方法对20例直肠癌行根治性切除手术患者采用FTS护理（FTS护理组）同期完全随机选择23例直肠癌行根治性手术患者采用常规围手术期护理方法进行对照。比较观察2组护理方法差异、术后恢复情况及护理相关并发症等。结果加速康复外科护理方案腹腔引流管置留时间、尿管平均放置时间、术后首次进食时间、下床活动时间和肛门首次排气分别为[（2．1±1．7）d，（2．1±1．1）d，（2．3±0．7）d，（3．1±1．2）d，（2．9±0．8）d]，均较常规护理组[（4．2±1．3）d，（3．8±0．9）d，（4．3±1．2）d，（4．9±1．5）d，（4．1±1．0）d]明显缩短（P〈0．05），术后住院时间缩短（P〉0．05）。2组术后并发症发生差异无统计学意义。结论围手术期加速康复外科护理理念在直肠癌行根治性前切除患者中应用具安全有效，利于患者的早期康复。

The clinical application of fast track nursing care in rectal cancer patients receiving anterior resection

Objective To investigate the effectiveness and safety of fast track nursing care in perioperative period for rectal cancer patients receiving anterior resection. Methods Twenty-three rectal cancer patients undergo-ing anterior resection were recruited in this study. 20 patients had fast track nursing care and 23 patients had tradi-tional nursing methods. Nursing protocols, postoperative recovery and complications related to nursing care were compared between the two groups. Results Fast track surgery care group was associated with a significantly shorter placement of abdominal drainage tube and catheter, earlier first passage of flatus, time to food-taking and ambula-tion[(2.1±1.7)d vs (4.2±1.3)d, (2.1±1.1)d vs (3.8±0.9)d, (2.9±0.8)d vs(4.1±1.0)d, (2.3±0.7) d vs (4.3±1.2) d, (3.1±1.2) d vs (4.9±1.5 ) d] (P<0.05). Postoperative hospital stay was shorter than traditional nursing methods also (P>0.05). There were no significant differences in postoperative complications. Conclusion Fast track nursing care is feasible and effective in rectal cancer patients undergoing anterior resection.