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腹腔镜在手术根治结直肠癌中的应用观察与护理 被引量:1

Observation and nursing of laparoscopy in surgical radical treatment of colorectal cancer
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摘要 目的:观察两种不同手术方式治疗结直肠癌的效果对比和护理要点。方法:回顾性分析医院外科系统2016年3月-2019年3月住院的30例行腹腔镜结直肠癌手术与同期行传统手术的28例患者出院病历,从手术出血量、术后开始进固体饮食时间、住院天数等方面进行统计分析。结果:前者失血量少于后者(P<0.01),开始进固体饮食、术后住院天数等方面腹腔镜组均短于传统手术。结论:结直肠癌采用腹腔镜手术治疗,具有出血量少,肛门排气及下床活动时间早等诸多优势。为预防并发症,责任护士应密切观察患者病情动态变化,准确判断病情、正确执行医嘱,加强术后锻炼,促进患者快速康复。 Objective:To observe the effect of two different surgical methods on colorectal cancer and the main points of nursing.Method:Retrospective analysis of 30 cases of laparoscopic colorectal cancer in our surgical system from March 2016 to March 2019.In the same period,28 patients with traditional surgery were discharged from the medical records,including the amount of surgical bleeding,the time of solid diet after surgery,and the number of days of hospitalization.Result:The former had less blood loss than the latter(P<0.01),and the laparoscopic group was shorter than the traditional surgery in terms of entering the solid diet and the number of days of hospitalization after surgery.Conclusion:The colorectal cancer is treated by laparoscopic surgery,which has many advantages such as less bleeding,anal exhaust and early getting out of bed.However,it is easy to have various complications after surgery.Therefore,responsible nurse should closely observe the changes in the patient's condition,accurately judge the condition,correctly execute the doctor's orders,prevent complications,and promote the patient's rapid recovery.
作者 陈昌群 刘新凤 CHEN Chang-qun;LIU Xin-feng(Lu'an Fourth People's Hospital,Lu'an 237000,Anhui)
出处 《安徽卫生职业技术学院学报》 2020年第4期69-70,共2页 Journal of Anhui Health Vocational & Technical College
关键词 手术 结直肠癌 腹腔镜 护理 Operation Colorectal cancer Laparoscope Nursing
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