首页|增强康复干预联合排气策略对结直肠癌患者外科术后早期肠道功能及并发症的影响

增强康复干预联合排气策略对结直肠癌患者外科术后早期肠道功能及并发症的影响

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目的:探讨增强康复干预联合排气策略对结直肠癌患者外科术后早期肠道功能及并发症的影响.方法:选取 2021 年 2 月—2023 年 2 月南安市医院收治的 120 例结直肠癌患者作为研究对象,采用随机数字表法将患者分为对照组与观察组,各 60 例.对照组术后实施常规护理,观察组术后实施增强康复干预联合排气策略.比较两组术后早期肠道功能、腹痛腹胀情况[数字分级评分法(NRS)]、肛肠动力学指标及并发症发生情况.结果:护理前,两组腹痛、腹胀评分及肛管最大收缩压(MSP)、直肠静息压(RRP)、肛管静息压(ARP)比较,差异均无统计学意义(P>0.05);观察组肠鸣音恢复时间、肛门排气时间、首次排便时间、住院时间均明显短于对照组(P<0.05);观察组术后 24、72 h腹痛、腹胀评分、并发症发生率及术后 1 个月RRP、ARP均显著低于对照组,术后 1 个月的MSP高于对照组,差异均有统计学意义(P<0.05).结论:增强康复干预联合排气策略能有效改善结直肠癌患者外科术后的早期肠道功能,缩短患者的恢复时间,并能显著缓解腹痛、腹胀,降低并发症发生率.
Effects of Enhanced Rehabilitation Intervention Combined with Exhaust Strategy on Early Intestinal Function and Complications in Colorectal Cancer Patients after Surgery
Objective:To explore the effects of enhanced rehabilitation intervention combined with exhaust strategy on early intestinal function and complications in colorectal cancer patients after surgery.Method:A total of 120 patients with colorectal cancer admitted to Nan'an Hospital from February 2021 to February 2023 were selected as the study objects,and the patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine nursing after surgery,and the observation group received enhanced rehabilitation intervention combined with exhaust strategy after surgery.Early postoperative intestinal function,abdominal pain and abdominal bloating[numerical rating scale(NRS)],anorectal dynamics indexes and complications were compared between the two groups.Result:Before nursing,there were no significant differences in abdominal pain and abdominal bloating scores,and maximum systolic pressure(MSP),rectal resting pressure(RRP)and anal resting pressure(ARP)between the two groups(P>0.05).The recovery time of bowel sound,anal exhaust time,first defecation time and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).Abdominal pain and abdominal bloating scores 24 and 72 h after surgery,complication rate,RRP and ARP one month after surgery in observation group were significantly lower than those in control group,and MSP one month after surgery was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion:Enhanced rehabilitation intervention combined with exhaust strategy can effectively improve the early intestinal function of patients with colorectal cancer after surgery,shorten the recovery time of patients,significantly relieve abdominal pain and abdominal bloating,and reduce the incidence of complications.

Enhanced rehabilitation interventionExhaust strategyColorectal cancerEarly intestinal functionComplications

洪援助、许燕红

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南安市医院护理部 福建 南安 362300

南安市康复院院长科 福建 南安 362300

增强康复干预 排气策略 结直肠癌 早期肠道功能 并发症

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(21)