晕轮效应在结直肠癌围手术期中应用的效果评价

目的：探讨晕轮效应在结直肠癌围手术期中的安全性及应用效果。方法将150例结直肠癌手术患者按随机临床试验(RCT)原则随机分为晕轮效应护理组75例及常规护理组75例，记录并比较两组患者术后住院时间、住院总费用、术后首次排气时间、术后首次进食时间及术后并发症发生情况(包括术后肠梗阻、伤口感染、吻合口瘘、肺部感染、术后尿潴留、再次手术、死亡)。结果术后住院时间、住院总费用、术后首次排气时间、术后首次进食时间的比较，晕轮效应护理组优于常规护理组，差异有统计学意义(P<0.05)；而术后肠梗阻、伤口感染、吻合口瘘、肺部感染、术后尿潴留、再次手术、死亡等术后并发症比较，两组差异无统计学意义(P>0.05)。结论与传统护理相比，晕轮效应理念在结直肠癌围手术期中应用可以促进患者康复，提高舒适度，缩短术后住院时间及减少住院总费用，显著改善患者康复。

Evaluation of application of halo effect on the perioperative period of colorectal cancer

Objective To explore the safety and application effect of halo effect on the perioperative period of colorectal cancer. Methods A total of 150 colorectal cancer surgery patients were randomly divided into two groups ac-cording to the randomized clinical trials (RCT) principle, the halo effect care group (75 cases) and the routine care group (75 cases). The hospitalization time after operation, the total cost of hospitalization, postoperative first aeroflux-us time, postoperative first eating time and postoperative complications (including postoperative ileus, wound infection, anastomotic leakage, pulmonary infection, postoperative urinary retention, reoperation and death) of the two groups of patients were recorded and compared. Results The hospitalization time after surgery, the total cost of hospitalization, postoperative first aerofluxus time, the comparison of the postoperative first eating time of the halo effect care group were much better than those of the routine care group, and the difference was statistically significant (P<0. 05); while there were no statistical differences in terms of postoperative ileus, wound infection, anastomotic leakage, pulmonary infec-tion, postoperative urinary retention, reoperation and death between the two groups (P>0. 05) . Conclusion Com-pared with conventional treatments, the application of halo effect on colorectal cancer surgery perioperative can promote the rehabilitation of patients, improve comfort, shorten postoperative hospitalization time and reduce the total cost of hos-pitalization, and significantly improve the recovery of patients.