腹腔镜老年直肠癌患者围手术期护理

目的:对比分析老年直肠癌患者腹腔镜手术和传统开腹手术临床护理资料,探讨老年直肠癌患者腹腔镜手术的围手术期护理措施。方法:回顾分析78例老年直肠癌患者行肿瘤根治术的临床护理资料,其中腹腔镜直肠癌根治术38例,传统开腹直肠癌根治术40例,对比分析两组的一般情况(ASA评分)、手术病理分期(Dukes分期)、手术时间、手术出血量、肛门排气时间、下床活动时间及住院时间等情况。结果:两组患者术前ASA评分、Dukes分期、合并症及手术时间无统计学意义(P>0.05)。腹腔镜组肛门排气时间、下床活动时间及住院时间显著缩短(P<0.05),并发症、手术出血量明显减少(P<0.05)。结论:老年直肠癌患者行腹腔镜手术切除具有创伤小,术后恢复快,并发症少等优点,加强围手术期心理护理,术前充分的肠道准备,术后密切病情观察和及时发现处理并发症,是老年直肠癌患者腹腔镜术后顺利康复的重要保证。

Perioperative nursing of elderly patients with rectal cancer underwent laparoscopic resection

Objective: To explore the perioperative care of elderly patients with rectal cancer underwent laparoscopic surgery.Methods:Retrospective analysis of the clinical care of 78 cases of rectal cancer more than 60-year-old underwent radical resection was performed.Among the 78 patients,38 cases underwent laparoscopic resection and 40 cases underwent conventional open resection.The indicators of the analysis were general situation of the two groups(ASA score),clinical stage(Dukes stage),opertion time,intraoperative blood loss,anal exhaust time,ambulation time and hospital stay.Results:No statistical significance was found when the indicators of preoperative ASA score,Dukes staging,complications,and operative time were compared between the two groups(P> 0.05),but significantly shorter in anal exhaust time,ambulation time and hospital stay in laparoscopic group(P<0.05).Meanwhile there was significant reduction of the surgical bleeding and the incidence of complication in laparoscopic group(P<0.05).Conclusion:Elderly patients with rectal cancer underwent laparoscopic surgery have less trauma faster recovery,and fewer complications.The strengthening of preoperative psychological care and bowel preparation,close observation and timely management of complications are important points of the successful rehabilitation of elderly patients with rectal cancer.