摘要
目的探讨腹腔镜结直肠癌术后患者采取康复训练联合体位干预对改善胃肠功能的作用.方法选择2020年1月—2021年12月我院收治的80例行腹腔镜结直肠癌术患者,以随机数表法分为两组.对照组(n=40)术后采用体位干预,观察组(n=40)术后采用康复训练联合体位干预.比较两组术后胃肠功能恢复指标,检测干预前后胃泌素、胃动素水平评估胃肠激素分泌状态,并比较两组并发症发生率.结果观察组留置胃管时间、肠鸣音恢复时间、排气时间、排便时间、首次进食时间均短于对照组,组间差异有统计学意义(P<0.05).观察组干预后的胃泌素、胃动素水平均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症率7.50%低于对照组的35.00%,差异有统计学意义(P<0.05).结论腹腔镜结直肠癌术后患者采用康复训练联合体位干预能促进其胃肠功能恢复,改善胃肠激素分泌,有利于降低并发症发生风险.
Objective To investigate the effect of rehabilitation training combined with postural intervention on improving gastrointestinal function in patients after laparoscopic colorectal cancer surgery.Methods 80 patients admitted to our hospital for laparoscopic colorectal cancer from January 2020 to December 2021 were selected and divided into two groups by random number table method.The control group(n=40)used postoperative posture intervention,and the observation group(n=40)used postoperative rehabilitation training combined with posture intervention.The postoperative gastrointestinal function recovery indexes were compared between the two groups,and gastrin and motilin levels were measured before and after the intervention to assess the gastrointestinal hormone secretion status,and the complication rates of the two groups were compared.Results In the observation group,the time to leave the gastric tube,the time to recover the bowel sounds,the time to pass gas,the time to defecate and the time to eat for the first time were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The levels of gastrin and motilin in the observation group were higher than those in the control group after the intervention,and the differences between the groups were statistically significant(P<0.05).The complication rate of 7.50%in the observation group was lower than that of 35.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of rehabilitation training combined with postural interventions in patients after laparoscopic colorectal cancer can promote their gastrointestinal function recovery,improve gastrointestinal hormone secretion and help reduce the risk of complications.
作者
寇晓梅
KOU Xiaomei(Department of General Surgery,The First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处
《反射疗法与康复医学》
2022年第12期119-121,133,共4页
Reflexology And Rehabilitation Medicine
关键词
腹腔镜
康复训练
体位干预
胃肠功能
结直肠癌
Laparoscopy
Rehabilitation training
Postural intervention
Gastrointestinal function
Colorectal cancer
作者简介
寇晓梅(1972-),女,山东德州人,本科,副主任护师,研究方向:普外科护理。
