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目的分析在结肠直肠癌护理过程中应用快速康复外科(FTS)理念的效果。方法 104例行结肠直肠癌手术治疗的患者,随机分为对照组和观察组,每组52例。对照组患者采用常规临床护理措施,观察组患者则在护理过程中应用快速康复外科理念。对比两组患者的临床治疗效果及并发症发生情况。结果观察组患者的首次排气时间为(62.37±10.43)h、术后拆线时间为(7.06±1.42)d、首次进食时间为(26.47±10.63)h、引流管拔除时间为(5.05±1.18)d、住院时长为(15.74±3.11)d,对照组各指标水平分别为(83.57±15.37)h、(8.48±2.64)d、(56.31±15.46)h、(6.35±2.15)d、(20.24±4.34)d,两组患者的首次排气时间、首次进食时间、引流管拔除时间、术后拆线时间及住院时长等指标比较,差异具有统计学意义(P<0.05)。观察组共3例患者发生不同程度的并发症,并发症发生率为5.77%;对照组共10例患者发生不同程度的并发症,并发症发生率为19.23%;两组患者术后并发症发生率比较差异具有统计学意义(P<0.05)。结论在结肠直肠癌护理中应用快速康复外科理念,能够显著提高患者的术后康复效果,缩短患者治疗时长,降低并发症的发生。
Objective To analyze the effect of rapid rehabilitation surgery (FTS) in the management of colorectal cancer. Methods 104 cases of colorectal cancer surgery patients were randomly divided into control group and observation group, 52 cases in each group. Patients in the control group received routine clinical care and patients in the observation group followed the concept of rapid rehabilitation surgery in the nursing process. The clinical efficacy and complications of the two groups were compared. Results The time of the first evacuation in the observation group was (62.37 ± 10.43) h, the time of postoperative stitching removal was (7.06 ± 1.42) d, the time of first feeding was (26.47 ± 10.63) h and the time of drainage tube removal was (5.05 ± 1.18 ) d, and length of hospital stay was (15.74 ± 3.11) days. The indexes of the control group were (83.57 ± 15.37) h, (8.48 ± 2.64) d, (56.31 ± 15.46) h, ± 4.34) d. There was significant difference between the two groups in terms of the first time of exhausting, the time of first feeding, the time of drainage tube removal, the time of postoperative stitching removal and the duration of hospitalization (P <0.05). A total of 3 patients in the observation group had different degrees of complications and the incidence rate of complications was 5.77%. In the control group, 10 patients had different degrees of complications and the complication rate was 19.23%. Postoperative complications occurred in both groups The difference was statistically significant (P <0.05). Conclusion The concept of rapid rehabilitation surgery in colorectal cancer nursing can significantly improve the postoperative rehabilitation effect, shorten the duration of treatment and reduce the incidence of complications.