目的 探讨"防治康"三结合策略在腹腔镜经肛门全直肠系膜切除术(TaTME)患者术后康复中的应用研究.方法 选取2020年12月至2022年12月在中山市人民医院肿瘤外科60例TaTME患者作为研究对象,按随机数表法分为结合策略组和传统康复组,每组各 30 例.传统康复组给予传统的康复指导及院后指导,结合策略组实施"防治康"三结合策略护理措施.观察比较两组患者护理效果,观察指标包括患者肛门功能状态、胃肠功能状态、运动能力情况、术后恢复质量和术后并发症情况.结果 经干预后,结合策略组术后恢复质量评分高于传统康复组,术后住院时间少于传统康复组,差异有统计学意义(P<0.05);干预后,结合策略组术后下床活动时间、首次肛门排气时间少于传统康复组,差异有统计学意义(P<0.05);首次排便时间略少于传统康复组,差异无统计学意义(P>0.05);干预后,结合策略组术后并发症发生率低于传统康复组,差异有统计学意义(P<0.05).结论 "防治康"三结合策略能够有效提高TaTME患者术后恢复质量,降低术后住院时间,改善术后首次排气时间,值得临床推广应用.
Objective To explore the study on the application of the"prevention-treatment-rehabilitation"three-in-one combination strategy in postoperative rehabilitation of patients undergoing laparoscopic transanal total mesorectal excision(TaTME).Methods A total of 60 TaTME patients admitted to the Department of Oncology Surgery of Zhongshan City People's Hospital from December 2020 to December 2022 were selected as the study subjects.They were divided into a combination strategy group and a traditional rehabilitation group by a random number table method,with 30 patients in each group.The traditional rehabilitation group was given traditional rehabilitation guidance and post-discharge guidance,while the strategy group implemented the"prevention-treatment-rehabilitation"three-in-one combination strategy nursing measure.The nursing effects of the two groups of patients were observed and compared,with observation indicators including anal function status,gastrointestinal function status,motor ability,postoperative recovery quality,and postoperative complications.Results After the intervention,the postoperative recovery quality score of the combination strategy group was higher than that of the traditional rehabilitation group,and the postoperative hospitalization time was shorter than that of the traditional rehabilitation group,with statistically significant differences(P<0.05).After the intervention,the postoperative off-bed activity time and first anal exhaust time of the combination strategy group were shorter than those of the traditional rehabilitation group,with statistically significant differences(P<0.05).The first bowel movement time was slightly shorter than that of the traditional rehabilitation group,without statistically significant difference(P>0.05).After the intervention,the incidence of postoperative complications in the combination strategy group was lower than that in the traditional rehabilitation group,with statistically significant difference(P<0.05).Conclusion The"prevention-treatment-rehabilitation"three-in-one combination strategy can effectively improve the postoperative recovery quality of TaTME patients,shorten postoperative hospitalization time,and improve the first postoperative exhaust time,which is worthy of clinical promotion and application.
秦燕
广东省中山市人民医院肿瘤外科,广东中山 528403
临床医学
防治康;腹腔镜经肛门全直肠系膜切除术;术后康复;肛门功能状态;胃肠功能状态
Prevention-treatment-rehabilitation;Transanal total mesorectal excision;Postoperative rehabilitation;Anal function status;Gastrointestinal function status
《中国医药科学》 2024 (005)
145-148 / 4
广东省中山市医学科研项目(2022J133).
10.20116/j.issn2095-0616.2024.05.33
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