植桂芳

【摘要】目的：探讨研究快速康复外科护理在腹腔镜直肠癌根治术围术期中的手术室护理效果。方法：将2015年11月～2018年3月于本院行腹腔镜直肠癌根治术治疗患者中抽出100例，将其以观察、对照两组进行分类，对照组采取常规护理，观察组选择快速康复外科护理，比较两组患者的临床效果。结果：观察组并发症发生率较对照组对应值低（800%<2800%）；观察组围术期相关指数均优于对照组对应值，且计算出组间数据差异值为P<005。结论：选择快速康复外科模式用于行腹腔镜直肠癌手术治疗患者围术期中的手术室护理中，有效减少其并发症发生情况的同时有利于加快患者术后健康恢复进度，以改善其预后，且提高了患者的生存质量，值得临床大力推广。

【关键词】快速康复外科护理；腹腔镜直肠癌根治术；手术室护理

[Abstract] Objective： to explore the nursing effect of fast track surgery nursing in the perioperative period of laparoscopic radical resection of rectal cancer. Methods： 100 cases of laparoscopic radical resection of rectal cancer from November 2015 to March 2018 were selected and divided into two groups by observation and control. The control group took routine nursing， and the observation group chose rapid rehabilitation surgical nursing to compare the clinical effect of the two groups. Results： the incidence of complications in the observation group was lower than that of the control group （800%<2800%）， and the peri operative index of the observation group was better than the corresponding value of the control group， and the data difference between the groups was P<005 Conclusion： the rapid rehabilitation surgery model is used in the perioperative perioperative operation room nursing care for patients with rectal cancer， which can effectively reduce the incidence of complications and accelerate the recovery of postoperative health， to improve the prognosis， and improve the quality of the patient's survival， which is worthy of clinical promotion.

[Key words] fast track surgery nursing； laparoscopic radical resection of rectal cancer； operation room nursing

【中圖分类号】 R49

【文献标识码】B 【文章编号】2095-6851（2018）10-118-01

直肠癌作为临床恶性肿瘤中常见的一种，而患者发病率随着人们生活方式的转变及经济水平的提高等多方面因素影响而持续上增，且其临床上多是以排便习惯改变、便血、脓血便、排便困难等症状作主要表现，若不及时予以患者有效治疗，对其生命健康安全均会造成严重影响[1]。近年来，临床上针对此类病症患者均是主张倡导应用手术进行治疗，并随着医学事业的大力发展，治疗直肠癌多是以采取腹腔镜直肠癌根治术作手术方案，较传统开腹手术切除病变区域而言手术成功率更高，损伤更小，术后粘连更少，是提高患者生存质量的有效措施[2]。此外，临床还表明，患者围术期间其机体或多或少都会因手术造成刺激而诱发一系列应激反应，若医护人员不予以重视，易导致患者出现一系列并发症状，不利于其预后改善的同时还会增加其生命威胁[3]。因此，临床指出患者围术期间需加以有效护理措施进行干预，降低其手术风险的同时促进患者预后改善，以满足其身心治疗需求。……