快速康复外科护理模式对胃癌根治术患者术后胃肠功能恢复的影响

摘要

Objective To explore the clinical value of rapid rehabilitation surgical nursing mode for patients with gastric cancer after radical operation.Methods 65 patients with gastric cancer undergoing radical operation in our hospital from July 2014 to December 2014 were selected as control group,and 65 patients with gastric cancer undergoing radical operation in our hospital from January 2015 to July 2015 were selected as observation group.Control group received routine perioperative nursing intervention,while observation group received rapid rehabilitation surgical nursing mode intervention.Compared postoperative recovery time of bowel sounds,defecation time,hospitalization time,the levels of serum protein,CRP 3 days after operation,and postoperative complications between two groups.Results There were statistically significant differences in postoperative recovery time of bowel sounds,defecation time,serum protein,CRP,and hospitalization time between two groups (P＜0.05).The incidences of postoperative urinary tract infection,wound infection,intestinal obstruction,total complications in observation group were significantly lower than those in control group (3.08％ vs.12.31％,4.62％ vs.15.38％,3.08％ vs.13.85％,26.16％ vs.67.69％;P＜0.05).Conclusion Compared with traditional perioperative nursing intervention,rapid rehabilitation surgical nursing mode can improve the gastrointestinal function and reduce the incidence of postoperative complications of patients with gastric cancer undergoing radical operation,worthy of clinical application.%目的 探讨快速康复外科护理模式对胃癌根治术患者术后胃肠功能和降低并发症的临床价值.方法 选取本院2014年7月至2014年12月65例胃癌根治术患者为对照组,2015年1月至2015年7月收治的65例胃癌根治术患者为观察组.对照组采用常规围手术期护理进行干预,观察组采用快速康复外科护理模式进行干预.比较两组患者术后肠鸣音恢复时间、排便时间、住院时问、术后3d血清蛋白、CRP以及术后并发症的发生情况.结果 观察组术后肠鸣音恢复时间、排便时间、血清蛋白、CRP和住院时间与对照组比较差异均有统计学意义(P＜0.05);观察组术后尿路感染(3.08％ vs.12.31％)、伤口感染(4.62％vs.15.38％)、肠梗阻(3.08％vs.13.85％)和并发症总发生率(26.16％ vs.67.69％)均显著低于对照组(P＜0.05).结论 与传统围手术期护理干预相比,快速康复外科护理模式可以更好的改善胃癌根治术患者术后的胃肠功能,降低术后并发症的发生率,值得在临床推广运用.