快速康复外科护理干预在腹腔镜下结肠癌患者围术期中的应用

目的:探讨快速康复外科护理干预在腹腔镜下结肠癌患者围术期中的应用效果。方法:将2017年1月1日~2018年6月30日收治的120例结肠癌患者作为对照组,采用常规护理干预措施;将2018年7月1日~2019年12月31日120例结肠癌患者作为观察组,在常规护理基础上实施快速康复外科护理干预。比较两组患者干预效果。结果:观察组患者术后首次下床活动时间、首次排便时间、平均住院时间均短于对照组(P<0.05),住院费用少于对照组(P<0.05);与对照组相比,观察组患者白细胞水平较低,白蛋白、总蛋白下降幅度较小,差异均有统计学意义(P<0.05);观察组患者术后并发症发生率低于对照组(P<0.05);观察组患者术后1、6、12、24、48 h的视觉模拟评分法(VAS)评分低于对照组(P<0.05)。结论:快速康复外科护理应用于腹腔镜下结肠癌手术患者中,能有效减少患者并发症和术后疼痛的发生,加快胃肠功能恢复,缩短住院时间,提高患者满意度。

Application of Enhanced Recovery after Surgery Intervention in Perioperative Patients with Colon Cancer under Laparoscopy

Objective:To explore the effect of ERAS intervention in perioperative patients with colon cancer under laparoscopy.Methods:From January 1,2017 to June 30,2018,120 patients with colon cancer admitted were used as the control group,and routine nursing intervention measures were adopted.One hundred and twenty patients with colon cancer from July 1,2018 to December 31,2019 were selected as the observation group,and ERAS intervention was performed on the basis of routine nursing.The effect of intervention was compared between the two groups.Results:The first postoperative activity time,first defecation time and average hospital stay of patients in the observation group were shorter than those in the control group(P<0.05),and the hospital expenses were lower than those in the control group(P<0.05).Compared with the control group,the patients in the observation group had lower leukocyte level and a small decrease in albumin and total protein,with statistically significant differences(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Visual analogue scale(VAS)scores at 1,6,12,24 and 48 hours after surgery were lower in the observation group than in the control group(P<0.05).Conclusion:The application of ERAS in patients undergoing laparoscopic colon cancer surgery can effectively reduce the incidence of complications and postoperative pain,accelerate the recovery of gastrointestinal function,shorten the length of stay,and improve patient satisfaction.