术前快速康复操对腹腔镜结直肠癌根治术后恢复的影响

被引:38
作者
秦珮珮
金菊英
闵苏
王文健
陈婧
机构
[1] 重庆医科大学附属第一医院麻醉科
关键词
术前快速康复操; 预康复; 结直肠癌; 加速康复外科; 胃肠功能;
D O I
暂无
中图分类号
R473.73 [肿瘤科护理学];
学科分类号
摘要
目的观察术前进行快速康复操的锻炼对腹腔镜结直肠癌根治术患者术后恢复的影响。方法选择拟行腹腔镜下结直肠癌根治手术患者200例,男122例,女78例,年龄32~80岁,ASAⅠ—Ⅲ级。随机分为两组:康复操组与对照组,每组100例。康复操组在术前进行快速康复操的锻炼,对照组仍采用传统的术前干预方案。两组患者均采用静-吸复合全身麻醉。记录术后首次下床行走时间、胃肠功能恢复指标、患者满意情况、术后住院时间和术后并发症的发生情况。结果康复操组术后首次下床行走时间、首次肛门排气时间和首次进食流食时间均明显短于对照组(P<0.05)。康复操组患者满意度明显高于对照组,术后住院时间明显短于对照组(P<0.05)。康复操组术后肺部感染率及总体并发症发生率明显低于对照组(P<0.05)。结论术前进行快速康复操锻炼能够加速腹腔镜下结直肠癌根治术患者术后康复,是一种可供临床选择的预康复策略。
引用
收藏
页码:119 / 122
页数:4
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