以肠鸣音恢复作为腹腔镜结直肠癌术后早期进食指征的临床研究

发布时间：2018-03-05 21:09

本文选题：肠鸣音　切入点：腹腔镜结直肠癌手术　出处：《护理实践与研究》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨以肠鸣音恢复为腹腔镜结直肠癌术后早期进食指征在临床护理的应用价值。方法:将我院行腹腔镜结直肠癌术的60例患者按照随机数字表法等分为观察组和对照组,术后两组患者均给予优质护理干预,对照组以术后肛门排气为进食指征,观察组以术后肠鸣音恢复为进食指征,观察两组患者排气时间、进食时间、输液时间、住院时间、住院费用及血清白蛋白(Alb)、血红蛋白(Hb)指标变化情况。结果:护理后观察组首次进食时间、首次排气时间、输液时间及Alb、Hb均优于对照组(P0.05),住院时间短于对照组(P0.05),住院费用低于对照组(P0.05)。结论:以肠鸣音恢复作为腹腔镜结直肠癌术后早期进食指征能提高腹腔镜结直肠癌根治术后护理质量,可促进患者术后胃肠功能恢复、缩短住院时间,减轻患者因长时间留置胃管带来的痛苦,提高医疗资源使用率,值得临床推广使用。
[Abstract]:Objective: to explore the clinical nursing value of early food intake indication after laparoscopic colorectal cancer operation. Methods: 60 patients undergoing laparoscopic colorectal cancer surgery were divided into observation group and control group according to random number table method. All the patients in the two groups were given high quality nursing intervention. The patients in the control group were treated with postoperative anal exhaust as the indication of food intake, and the patients in the observation group were treated with the recovery of bowel sound as the indication of eating. The time of exhaust, feeding, transfusion and hospitalization were observed in the two groups. Results: the first feeding time, the first exhaust time of the observation group after nursing, the change of the indexes of serum albumin Albbumin, hemoglobin and Hb.Results: after nursing, the observation group had the time of first feeding and the first time of exhaust. The infusion time and Alb#en0# HB were better than the control group (P 0.05), the hospitalization time was shorter than that in the control group (P 0.05), and the hospitalization cost was lower than that in the control group (P 0.05). Conclusion: the recovery of bowel sound as an early indication of food intake after laparoscopic colorectal cancer surgery can improve the root of colorectal cancer under laparoscopy. Nursing quality after treatment, It can promote the recovery of gastrointestinal function, shorten the hospitalization time, alleviate the pain caused by long time indwelling gastric tube, improve the utilization rate of medical resources, and be worth popularizing in clinic.
【作者单位】：珠海市人民医院普外一科;
【基金】：珠海市科技计划项目(2015A1025)
【分类号】：R473.73

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