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目的观察并研究腹腔镜与开腹手术后给予护理干预后结肠癌恢复情况。方法选择我院自2014年12月至2015年12月收治的34例结肠癌患者为研究对象,分为治疗组与对照组,对照组患者采用开腹手术的方式,治疗组患者采用腹腔镜手术治疗,观察并对比两种手术方式相应护理后手术时间、切口长度、术中出血量、住院时间、肛门恢复排气时间等指标。结果对两组患者手术时间、切口长度、术中出血量、住院时间、肛门恢复排气时间等指标进行对比发现,治疗组患者手术时间较长于对照组,两组对比结果有统计学差异(p>0.05);但治疗组患者术中出血量(142.6±20.0mL)、住院天数(3.5±3.7d)、并发症几率(10.5%)显著低于对照组,P<0.05,具有差异统计学意义。结论结肠癌患者实施腹腔镜手术并采取科学有效的护理措施具有显著的临床效果,可缩短患者的术后排气时间、下床活动时间及住院时间,减少患者的疼痛,提高患者的护理满意度。
Objective To observe and study the recovery of colon cancer after nursing intervention after laparoscopic and laparotomy. Methods 34 patients with colon cancer who were treated in our hospital from December 2014 to December 2015 were selected as study subjects and divided into treatment group and control group. Patients in control group were treated by laparotomy. Patients in treatment group were treated by laparoscopy The duration of operation, length of incision, blood loss during operation, length of hospital stay, anus recovery exhaust time and other indexes were observed and compared after treatment. Results The operation time, incision length, intraoperative blood loss, hospitalization time, anus recovery exhaust time and other indicators were compared between the two groups. The patients in the treatment group had longer operation time than the control group, and there was significant difference between the two groups (p > 0.05). However, the intraoperative blood loss (142.6 ± 20.0 mL) and hospital stay (3.5 ± 3.7 days) and the complication rate (10.5%) in the treatment group were significantly lower than those in the control group (P <0.05) . Conclusion The implementation of laparoscopic surgery in patients with colon cancer and take scientific and effective care measures have significant clinical effects, can shorten the patient’s postoperative exhaust time, ambulation time and hospital stay, reduce patient pain and improve patient satisfaction with the care .