摘要
目的 探究中医综合康复护理对大肠癌患者术后康复效果及血液高凝状态的影响.方法 选取82 例大肠癌患者随机分为对照组和观察组,各41 例,对照组实施大肠癌术后常规护理,观察组实施具有中医特色的综合康复护理,比较两组干预效果.结果 观察组胃肠功能恢复时间明显短于对照组(P＜0.05),观察组护理后中医证候腹胀、食欲不振、便血、大便干结、大便黏液、便溏、少气懒言、神疲乏力、面色咣白、胁肋胀痛、自汗、身面瘀暗、大便规律改变、疼痛、心悸心慌等不良症状发生率明显低于对照组(P＜0.05).观察组护理后血浆黏度、全血黏度、红细胞聚集指数、红细胞压积、红细胞变形指数均明显低于对照组(P＜0.05).观察组护理后D-二聚体、纤维蛋白原明显低于对照组,活化部分凝血活酶时间、凝血酶原时间明显长于对照组(P＜0.05).结论 大肠癌患者术后经中医综合康复护理效果较好,患者胃肠功能恢复明显缩短,术后不良症状明显减少,血液高凝状态得到显著改善.
Abstract
Objective To investigate the effect of Chinese medicine comprehensive rehabilitation nursing on the postoperative rehabilitation effect and blood hypercoagulable state of colorectal cancer patients.Methods 82 cases of colorectal cancer patients were selected and randomly divided into a control group and an observation group,each with 41 cases.The control group implemented postoperative routine nursing care for colorectal cancer,and the observation group implemented comprehensive rehabilitation nursing care with traditional Chinese medicine characteristics,and the effects of the interventions in the two groups were compared.Results The recovery time of gastrointestinal function of the observation group was significantly shorter than that of the control group(P＜0.05),and the incidence of adverse symptoms such as abdominal distension,loss of appetite,blood in stool,dry stools,mucus in stools,loose stools,little breath and lazy speech,fatigue,pallor,coercive and rib distension and pain,spontaneous sweating,stasis and darkness on the body and face,change in stool pattern,pain,palpitation and panic in the observation group after care was significantly lower than that of the control group(P＜0.05).Plasma viscosity,whole blood viscosity,erythrocyte aggregation index,hematocrit,and erythrocyte deformation index were significantly lower in the observation group than in the control group after nursing(P＜0.05).D-dimer and fibrinogen in the observation group were significantly lower than those in the control group after nursing,and activated partial thromboplastin time and prothrombin time were significantly longer than those in the control group(P＜0.05).Conclusion Colorectal cancer patients with better postoperative effects of comprehensive rehabilitation care by traditional Chinese medicine,the recovery of gastrointestinal function of the patients was significantly shortened,postoperative adverse symptoms were significantly reduced,and the hypercoagulable state of the blood was significantly improved.
维普
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