腹腔镜结肠癌手术患者快速康复外科护理的应用及效果分析

目的探讨腹腔镜结肠癌手术患者快速康复外科护理的疗效以及对预后进行临床分析。方法选取结肠癌患者90例,采用随机数表法分为2组,观察组采用快速康复外科护理方案治疗,对照组患者采用传统治疗方案。比较2组患者治疗后术后排气时间、术后进食时间、术后排便时间、切口感染时间以及术后住院时间、治疗前后白蛋白和总蛋白变化情况、并发症发生率和临床疗效情况。结果治疗后,观察组术后排气时间、术后进食时间以及术后排便时间早于对照组,术后切口愈合时间和术后住院时间短于对照组;治疗后,观察组的白蛋白、总蛋白低于对照组,发生术后切口感染、尿路感染、肺部感染以及肠梗阻低于对照组,观察组总有效率95.56%高于对照组73.33%,2组比较差异有统计学意义(P0.05)。结论快速康复外科护理应用于腹腔镜结肠癌手术患者中,疗效显著,值得推广。

Application of fast recovery surgery for laparoscopic colon surgery patients and its efficacy

Objective To evaluate application of fast recovery surgery for laparoscopic colon surgery patients and its efficacy.Methods A total of 90 patients with colon cancer in our hospital were divided into observation group and control group by random number table method,given fast recovery surgery and conventional treatment,respectively.Postoperative exhaust time,postoperative eating time,defecation time,wound infection and postoperative hospital stay time comparing the two groups of patients,albumin and total protein changes,complications and clinical efficacy before and after treatment.Results After treatment,postoperative exhaust time,eating time and bowel movement in the observation group were earlier than that in the control group,postoperative wound healing time and postoperative hospital stay were shorter than that in the control group (P ＜ 0.05);After treatment,the observation group had lower levels of albumin and total protein than the control group (P ＜ 0.05);Observation group had lower incidence of postoperative wound infection,urinary tract infections,lung infections,and intestinal obstruction than the control group,and higher total effective rate than the control group,the difference was statistically significant(P ＜ 0.05).Conclusion The rapid rehabilitation surgery for laparoscopic colon surgery patients has significant effect,so it is worth promoting.