冯立文

[摘要] 目的 探讨规范化护理配合在腹腔镜直肠癌根治术中的应用效果。 方法 选取本院2014年3月～2015年5月腹腔镜下直肠癌根治术的患者162例，按随机数字表法将患者分为对照组和观察组，各81例，对照组实施常规护理配合，观察组在常规护理配合基础上实施规范化护理配合，比较两组手术时间、术中出血量及医生满意度、患者满意度。 结果 观察组手术时间（168.5±28.3）min明显短于对照组的（192.6±31.9）min，术中出血量观察组（88.4±9.7）ml明显少于对照组的（98.5±12.8）ml，差异有统计学意义（P<0.05）；观察组医生满意度、患者满意度分别为97.5%、100%均高于对照组的81.5%、77.8%，差异有统计学意义（P<0.05）。 结论 规范化护理配合可显著提高腹腔镜下直肠癌根治术的护理配合质量，缩短手术时间，减少出血量，提高医生、患者的满意度。

[关键词] 腹腔镜；直肠癌根治术；规范化护理；手术配合；效果

[中图分类号] R735.3+7 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0176-04

[Abstract] Objective To explore the application effects of standardized nursing cooperation in laparoscopic radical rectectomy. Methods 162 conducted radical rectectomy under laparoscopic from March 2014 to May 2015 of our hospital were selected.Patients were divided into control group and observation group according to random number table method， and each group was 81 cases.Patients in control group were given routine nursing cooperation，and patients in observation group were given standardized nursing cooperation on the basis of routine nursing cooperation.The operation time，bleeding during operation and the satisfaction of doctors and patients in two groups were compared. Results The operation time in observation group was （168.5±28.3）min，obvious shorter than that was （192.6±31.9）min in control group；the bleeding during operation was （88.4±9.7）ml，obvious less than that was （98.5±12.8）ml in control group，and the difference was statistical significance （P<0.05）.The satisfaction of doctors and patients in observation group were respectively 97.5% and 100%，both were higher than that were respectively 81.5% and 77.8% in control group，and the difference was statistical significance （P<0.05）. Conclusion Standardized nursing cooperation can enhance the nursing cooperation quality of radical rectectomy under laparoscopic obviously，shorter operation time， reduce bleeding volume and the satisfaction of doctors and patients.

[Key words] Laparoscopic；Radical rectectomy；Standardized nursing；Operation cooperation；Effects

腹腔镜直肠癌根治术是目前临床最成熟的腔镜手术之一，它与传统开腹手术相比，具有创伤小、手术瘢痕少、术后痛苦较轻、肠蠕动恢复快、住院时间短等优点，且已经被越来越多的病人所接受[1]。高质量的护理配合在保证手术顺利进行、提高手术安全性等方面具有重要意义。本文旨在探讨规范化护理配合在腹腔镜下直肠癌根治术中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2014年3月～2015年5月本院腹腔镜下直肠癌根治术的患者162例作为研究对象，术前告知患者及家属护理配合方法，取得知情同意。按随机数字表法将患者分为对照组和观察组，各81例。观察组中男52例，女29例；年龄34～79岁，平均（63.7±4.9）岁，低位直肠癌患者30例，高位直肠癌患者51例；对照组中男51例，女30例；年龄34～78岁，平均（63.9±4.5）岁，低位直肠癌患者29例，高位直肠癌患者52例；两组患者术前经肠镜取活检病理诊断确诊为直肠癌，经胸片、CT、MRI等影像学检查无肝肺转移；……