ZHU Xulin, XUE Haixia, WANG Li, GE Yali, SHU Yusheng. Perioperative comprehensive nursing for patients with rectal cancer surgery by fast-track anesthesia[J]. Journal of Clinical Medicine in Practice, 2020, 24(7): 95-97. DOI: 10.7619/jcmp.202007027
Citation: ZHU Xulin, XUE Haixia, WANG Li, GE Yali, SHU Yusheng. Perioperative comprehensive nursing for patients with rectal cancer surgery by fast-track anesthesia[J]. Journal of Clinical Medicine in Practice, 2020, 24(7): 95-97. DOI: 10.7619/jcmp.202007027

Perioperative comprehensive nursing for patients with rectal cancer surgery by fast-track anesthesia

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  • Received Date: December 22, 2019
  • Objective To investigate the comprehensive perioperative care of patients with fast-track anesthesia(FTA)during rectal cancer surgery. Methods Totally 120 patients with elective rectal cancer surgery were randomly divided into two groups, with 60 cases in each group. The FTA group was treated with FTA and perioperative comprehensive care, while the non-FTA group was treated with conventional general anesthesia and nursing measures. Score of Visual Analogue Scale(VAS)in the anesthesia recovery room and 1, 2 and 3 days after operation were compared between two groups. Time in recovery room after operation, activity time to get out of bed, hospital stay, incidence rate of nausea and vomiting and satisfaction degree toward nursing were compared between two groups. Results The VAS scores in the anesthesia recovery room and at 1, 2 and 3 days after surgery in the FTA group were significantly lower than those in the non-FTA group(P<0.05). The duration in the recovery room, activity time to get out of bed, hospital stay and incidence rate of nausea and vomiting were significantly shorter and lower in FTA group than non-FTA group(P<0.05). The satisfaction degree toward nursing in FTA group was 96.7%, which was significantly higher than 80.0% of non-FTA group(P<0.05). Conclusion Implementation of comprehensive perioperative care measures in patients with radical rectal cancer treatment can improve the success rate of FTA, reduce postoperative pain degree and the incidence rate of nausea and vomiting, and improve the quality of postoperative recovery of patients.
  • 叶芳, 黄文起. 加速康复外科发展与完善麻醉管理[J]. 广东医学, 2016, 37(18): 2692-2695.
    贺伟忠, 闫国忠, 张文学, 等. 超声引导下连续腹横肌平面阻滞在腹腔镜直肠癌根治术后多模式镇痛中的应用[J]. 医学研究杂志, 2017, 46(7): 152-155.
    中国医师协会麻醉学医师分会. 促进术后康复的麻醉管理专家共识[J]. 中华麻醉学杂志, 2015, 35(2): 141-148.
    Filosso P L, Nigra V A, Lanza G, et al. Digital versus traditional air leak evaluation after elective pulmonary resection: a prospective and comparative mono-institutional study[J]. J Thorac Dis, 2015, 7(10): 1719-1724.
    中华医学会麻醉学分会. 2014版中国麻醉学指南与专家共识[M]. 北京: 人民卫生出版社, 2014: 222-227.
    金毅, 邵芹, 李伟彦. 快通道麻醉在加速康复外科中的作用[J]. 实用临床医药杂志, 2007, 11(5): 15-20.
    闫欢欢, 杨龙慧, 苑野, 等. Narcotrend麻醉深度监测仪在快通道麻醉中的应用[J]. 中国实验诊断学, 2016, 20(1): 124-125.
    广东省医师协会加速康复外科医师分会. 岭南结直肠外科手术麻醉的加速康复外科临床操作规范专家共识(2016版)[J]. 中华胃肠外科杂志, 2017, 20(4): 366-371.
    赵权. 快通道麻醉在老年腹腔镜结直肠肿瘤手术中的应用体会[J]. 吉林医学, 2015, 36(11): 2241-2242.
    张茜, 仵晓荣. 加速康复外科在临床中的应用进展[J]. 护理研究, 2018, 32(2): 191-195.
    郦惠芳, 徐达, 邹鲁, 等. 加速康复外科模式对结直肠手术患者围麻醉期应激反应及术后疼痛的影响[J]. 山西医药杂志, 2017, 46(14): 1770-1773.
    吴世贵, 刘吉生, 陈尔标. 超前镇痛对老年结直肠肿瘤腹腔镜手术快通道麻醉后复苏质量的影响[J]. 海南医学, 2015, 26(22): 3318-3320.
    Gustafsson U O, Scott M J, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS)Society recommendations[J]. World J Surg, 2013, 37(2): 259-284.
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