直肠癌超低位吻合保肛术患者围手术期肛肠压力观察及护理

来源 :中国医药指南 | 被引量 : 0次 | 上传用户:dfklfgkffh
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 研究直肠癌超低位吻合保肛术患者围手术期肛肠压力变化以及相关的护理措施。方法 研究对象抽取自我院在2017年1月至2020年1月纳入的100例确诊为直肠癌疾病,需要采用直肠癌超低位吻合保肛术进行治疗的患者,在其围手术期给予相应的护理干预措施,同时对其肛肠压力的变化情况进行密切观察,比较100例患者手术之前和手术之后的肛肠压力变化情况、术后并发症发生情况、术后半年复发率情况以及手术治疗前后Kirwan肛门功能评级情况。结果 患者手术治疗4周后的直肠肛门抑制反射次数为(2.08±0.47)次,而手术治疗前“,”Objective To study the perioperative changes of anorectal pressure and related nursing measures in patients with rectal cancer undergoing ultra-low anastomosis to preserve anus. Methods The study subjects selected 100 patients who were diagnosed with rectal cancer disease and who needed to be treated with rectal cancer ultra-low anastomosis preserving surgery, who were enrolled in their hospital from January, 2017 to January, 2020. The corresponding nursing intervention measures were given during the period, and the changes in the anorectal pressure were closely observed. The changes in the anorectal pressure before and after the operation, the occurrence of postoperative complications, the recurrence rate of the six months after the operation, and the operation were compared in 100 patients. Kirwan\'s anal function rating before and after treatment. Results After 4 weeks of surgical treatment, the number of rectal and anal suppression reflexes was (2.08±0.47)times, while that before surgery was (23.97±1.28)times, the difference was statistically significant (P<0.05); after 4 weeks of surgical treatment, the patients The resting pressure of the anal canal was 19.98±8.26 (mmHg), while it was (54.71±9.77) mm Hg before surgery, the difference was statistically significant (P<0.05); the patient\'s rectal compliance after 4 weeks of surgery was (5.25±1.16)mL/mm Hg, and (14.01±1.94) mL/mm Hg before surgery, the difference was statistically significant (P<0.05); the patient\'s maximum anal systolic blood pressure after 4 weeks of surgery was (63.37±28.84) mm Hg, and (120.03±25.57) mm Hg before surgical treatment, the difference was statistically significant (P<0.05); the postoperative complication rate after treatment and the half-year recurrence rate after surgery were 10.00% and 6.00%,respectively. After 4 weeks of surgical treatment, the number of patients with Kirwan\'s anal function rating 1 and 2 was higher than that before the surgical treatment, and the data was meaningful after comparison (P<0.05). Conclusion In the treatment of rectal cancer patients, the treatment of rectal cancer with ultra-low anastomosis preserving the anus together with targeted nursing measures can play a good role in improving the anorectal pressure and anal function of the patient, and is beneficial to improve the prognosis of the patient.
其他文献
目的 观察在冠心病患者护理过程中优质护理的应用效果。方法 本次试验将我院2018年5月至2019年8月期间收治的76例冠心病患者作为研究对象,并经奇偶数分组标准将其分为两组,各38例。给予对照组患者常规护理措施,观察组在其基础上联合应用优质护理措施,比较两组患者的生活质量评分、住院时间及护理满意度。结果 观察组社会功能、物质生活状态、躯体功能及心理功能评分分别为(86.47±2.64)分、(83.56±3.24)分、(84.43±3.26)分、(86.32±3.15)分,显著高于对照组的(64.32±2.
目的 探讨强化护理干预策略在降低ICU气管插管患者非计划性拔管中的效果。方法 将我院80例ICU气管插管患者,采用双盲随机法分为两组。对照组给予常规护理,试验组实施强化护理干预策略。结果 护理前两组SCL-90负面心理症状量表评分比较,P>0.05,护理后两组SCL-90负面心理症状量表评分均显著降低,和护理之前的SCL-90负面心理症状量表评分比较有较大差异,而其中试验组SCL-90负面心理症状量表评分显著低于对照组,P<0.05。试验组的护理满意程度比对照组高(t=7.342,P=0.000)。试验组