摘要
目的探讨腹腔镜结直肠癌根治术患者采用加速康复外科护理对其术后康复效果及早期离床活动的影响.方法选择该院2019年1月—2020年6月收治的腹腔镜结直肠癌根治术患者50例,以随机数表法分为两组,对照组(n=25)采用常规护理,试验组(n=25)采用加速康复外科护理.对比两组康复指标,检测患者术前、术后的白细胞介素(interleukin,IL)-6、C反应蛋白(C-reactive protein,CRP)、血清淀粉样蛋白A(serum amyloid A,SAA)水平评价机体炎症反应,检测患者术前、术后的免疫球蛋白(immunoglobulin,Ig)A、IgM、IgG水平评估机体免疫功能,并对比两组并发症发生情况.结果试验组离床活动时间(40.38±5.23)h、排气时间(2.06±0.61)d、排便时间(2.46±0.76)d、进食时间(0.53±0.15)d、住院时间(5.81±0.94)d均短于对照组,术后IL-6、CRP、SAA水平分别为(11.29±2.34)ng/L、(17.25±5.54)mg/L、(31.35±6.20)mg/L,均低于对照组,术后IgA、IgM、IgG水平分别为(2.42±0.20)g/L、(1.41±0.21)g/L、(7.15±0.69)g/L,均低于对照组,并发症发生率4.00%低于对照组的32.00%,组间差异有统计学意义(P<0.05).结论对腹腔镜结直肠癌根治术患者采用加速康复外科护理,能够促进患者术后康复,使其可以早期离床活动,有利于减轻机体炎症反应,改善机体免疫状态,并可降低并发症发生风险,值得推广.
Objective To explore the effect of accelerated rehabilitation surgical nursing on the rehabilitation effect and early getting out of bed activities in patients undergoing laparoscopic radical resection of colorectal cancer.Methods 50 patients undergoing laparoscopic radical resection of colorectal cancer who were admitted to the hospital from January 2019 to June 2020 were selected and divided into two groups by random number table.The control group(n=25)adopted conventional nursing,and the experimental group(n=25)adopted accelerated rehabilitation surgical nursing.Compare rehabilitation indicators of the two groups,detect patients'interleukin(IL)-6,C-reactive protein(CRP),serum amyloid A(SAA)levels before and after surgery to evaluate the body's inflammatory response,detect the immunoglobulin(Ig)A,IgM,and IgG levels of patients before and after surgery to evaluate the immune function of the body,and compare the occurrence of complications between the two groups.Results The time of getting out of bed activities(40.38±5.23)h,exhausting time(2.06±0.61)d,defecation time(2.46±0.76)d,eating time(0.53±0.15)d,hospitalization time(5.81±0.94)d in the experimental group were all shorter than those in the control group,after operation,the levels of IL-6,CRP,and SAA were(11.29±2.34)ng/L,(17.25±5.54)mg/L,and(31.35±6.20)mg/L,respectively,which were lower than those of the control group,after operation,the levels of IgA,IgM,and IgG were(2.42±0.20)g/L,(1.41±0.21)g/L,and(7.15±0.69)g/L,respectively,which were lower than those of the control group,the complication rate of 4.00%was lower than 32.00%of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The use of accelerated rehabilitation surgical nursing for patients undergoing laparoscopic radical resection of colorectal cancer can promote postoperative recovery,enable them to getting out of bed early,help reduce the body's inflammatory response,improve the body's immune status,and reduce the risk of complications,and is worth promoting.
作者
陆冬梅
LU Dongmei(Department of General Surgery,Haimen District People's Hospital,Nantong City,Jiangsu Province,Nantong Jiangsu,226100,China)
出处
《反射疗法与康复医学》
2021年第7期62-65,共4页
Reflexology And Rehabilitation Medicine
关键词
加速康复外科护理
结直肠癌
手术
康复效果
炎症因子
并发症
Accelerated rehabilitation surgical nursing
Colorectal cancer
Rehabilitation effect
Inflammatory factors
Complications
作者简介
陆冬梅(1985-),女,江苏海门人,本科,主管护师,研究方向:临床护理。
