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目的探讨无瘤技术护理配合在腹腔镜直肠癌根治术中的应用。方法选取2014年5月至2016年5月间山东省临朐县人民医院收治的80例腹腔镜直肠癌根治术患者,采用随机数表法分为观察组与对照组,每组40例。观察组患者给予无瘤技术护理配合,对照组患者给予常规护理,对比两组患者术中出血量、手术时间、住院时间、患者对护理工作的满意度、术后生活质量和随访1年内复发率、转移率及死亡率。结果观察组患者术中出血量、手术时间、住院时间和患者对护理工作满意度分别为(70.54±15.24)ml、(3.05±0.45)h、(10.25±3.87)d和90.0%,对照组患者分别为(110.69±17.54)ml、(5.32±1.08)h、(15.69±3.36)d和75.0%,观察组均于对照组,差异均有统计学意义(均P<0.05)。观察组患者角色功能、躯体功能、心理功能、社会功能评分及总分分别为(84.56±5.78)分、(84.23±7.12)分、(82.23±6.54)分、(83.21±6.45)分和(81.34±5.90)分,对照组患者分别为(70.12±3.56)分、(71.34±7.56)分、(71.67±6.09)分、(72.12±5.78)分和(71.56±5.88)分,观察组均优于对照组,差异均有统计学意义(均P<0.05)。观察组患者术后1年复发率、转移率及死亡率分别为5.0%、2.5%和7.5%,均低于对照组的12.5%、10.0%和15.0%,差异均有统计学意义(均P<0.05)。结论无瘤技术护理配合应用于腹腔镜直肠癌根治术中,能够提高护理服务质量,有效避免并减少癌细胞医源性扩散,改善患者生活质量。
Objective To investigate the application of tumor-free technique in laparoscopic radical resection of rectal cancer. Methods Eighty patients undergoing laparoscopic radical resection of rectal cancer who were treated in Lintao County People’s Hospital of Shandong Province from May 2014 to May 2016 were randomly divided into observation group and control group with 40 cases in each group. Patients in the observation group were treated with tumor-free technique and patients in the control group were given routine nursing care. Blood loss, operation time, hospital stay, satisfaction with nursing work, postoperative quality of life and recurrence rate within 1 year follow-up were compared between two groups , Transfer rate and mortality rate. Results The patients’ blood loss, operation time, hospital stay and patient satisfaction with nursing were (70.54 ± 15.24) ml, (3.05 ± 0.45) h, (10.25 ± 3.87) d and 90.0% respectively in control group (110.69 ± 17.54) ml, (5.32 ± 1.08) h, (15.69 ± 3.36) d and 75.0% respectively. The observation group were all in the control group, the differences were statistically significant (all P <0.05). (84.56 ± 5.78), (84.23 ± 7.12) points, (82.23 ± 6.54) points, (83.21 ± 6.45) points and (81.34) points in the observation group were significantly higher than those in the control group (84.56 ± 5.78), body function, mental function and social function score ± 5.90). The patients in the control group were (70.12 ± 3.56) points, (71.34 ± 7.56) points, (71.67 ± 6.09) points, (72.12 ± 5.78) points and (71.56 ± 5.88) points respectively. Control group, the differences were statistically significant (P <0.05). The 1-year recurrence rate, metastasis rate and mortality rate in the observation group were 5.0%, 2.5% and 7.5% respectively, which were all lower than those in the control group (12.5%, 10.0% and 15.0%, respectively) <0.05). Conclusion The application of non-tumor nursing combined with laparoscopic radical resection of rectal cancer can improve the quality of nursing services, effectively avoid and reduce the iatrogenic spread of cancer cells and improve the quality of life of patients.