胡慧琴　何韵彬

【摘要】 目的：探討快速康复理念在腹腔镜结直肠癌术后护理中的应用。方法：择取2018年9月-2019年10月笔者所在医院收治的102例结直肠癌患者作为此次的研究对象，并依据不同的治疗方案分为对照组和研究组，各51例。对照组实施常规护理，而研究组则在对照组的基础上加以实施快速康复理念护理干预。比较两组的护理效果。结果：护理后研究组VAS评分低于对照组，差异有统计学意义（P<0.05）;护理后研究组食欲、精神及体力、睡眠、疼痛、家庭支持评分均高于对照组，差异均有统计学意义（P<0.05）;护理后研究组IL-6、IL-8、TNF-α、CRP水平均低于对照组，差异均有统计学意义（P<0.05）;研究组并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论：在临床采用腹腔镜结直肠癌术后护理过程中采用快速康复理念，不仅可以降低患者机体疼痛感、炎症反应及并发症发生率，还可提高患者的生存质量，值得临床推广及应用。

【关键词】 快速康复理念 腹腔镜 结直肠癌 并发症

doi：10.14033/j.cnki.cfmr.2020.21.040 文献标识码 B 文章编号 1674-6805（2020）21-00-04

The Application of the Concept of Rapid Rehabilitation in the Postoperative Nursing of Laparoscopic Colorectal Cancer Surgery/HU Huiqin， HE Yunbin. //Chinese and Foreign Medical Research， 2020， 18（21）： -100

[Abstract] Objective： To explore the application of the concept of rapid rehabilitation in postoperative care of laparoscopic colorectal cancer. Method： A total of 102 patients with colorectal cancer admitted to our hospital from September 2018 to October 2019 were selected as the subjects of this study， and were divided into the control group and the study group according to different treatment regimens， 51 patients in each group. The control group to implement routine nursing， and the study group in the control group on the basis of the implementation of rapid rehabilitation concept of nursing intervention. The nursing effect of the two groups was compared. Result： The VAS score in the study group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The scores of appetite， mental and physical strength， sleep， pain and family support in the study group were higher than those in the control group， and the differences were statistically significant （P<0.05）. The levels of IL-6， IL-8， TNF- and CRP in the study group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The complication rate of the study group was lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： The concept of rapid rehabilitation in the postoperative nursing process of laparoscopic colorectal cancer can not only reduce the incidence of pain， inflammation and complications in patients， but also improve the quality of life of patients， which is worthy of clinical promotion and application.

[Key words] Concept of rapid rehabilitation Laparoscopy Colorectal cancer Complications

First-authors address： Huangshi Aikang Hospital， Huangshi 435000， China

结直肠癌在临床上属于肿瘤疾病的一种，目前，在临床上还无法确定该病的发病机制。相关研究发现，该病的发生可能与遗传、饮食习惯及社会环境等因素有关[1]。随着人们生活水平的不断提高，在日常生活习惯等因素的影响下，结直肠癌在临床的发病率逐年上升，严重的还会影响患者的身心健康及生命安全。在加强对结直肠癌的早期诊治，能够有效地降低临床的死亡率，同时也是临床治疗的重点。在临床上对于该病的治疗方法主要以手术为主，为了促进预后情况，临床还可适当地加以护理干预[2]。而本文主要探究快速康复理念在腹腔镜结直肠癌手术术后护理中的应用及对患者并发症发生的影响，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年9月-2019年10月笔者所在医院收治的102例结直肠癌患者作为此次的研究对象，纳入标准：（1）无心脏、肾脏等重要器官疾病的;（2）近3个月内未行过腹腔手术的。……