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目的探讨老年结肠癌并肠梗阻患者围手术期护理观察。方法选取2011年2月至2012年2月来我院治疗的老年结肠癌合并肠梗阻患者34例,随机分为两组,对照组17例采用传统手术护理,实验组17例则采用综合性护理。比较两组患者的肺部感染、切口感染发生率、粘连性肠梗阻等发生情况。结果实验组发生肺部感染2例,切口感染1例,粘连性肠梗阻2例,下肢静脉血栓1例,对照组发生肺部感染4例,切口感染5例,粘连性肠梗阻3例,下肢静脉血栓6例,两组差异具有统计学意义(P<0.05)。结论在老年结肠癌并肠梗阻患者围手术期进行合理的护理方法,能够明显降低肺部感染,切口感染率以及粘连性肠梗阻的发生,由于有利于患者的术后恢复,值得临床推广。
Objective To investigate the perioperative nursing of elderly patients with colon cancer and intestinal obstruction. Methods Twenty-four elderly patients with colon cancer and intestinal obstruction who were treated in our hospital from February 2011 to February 2012 were randomly divided into two groups. The control group received 17 cases of traditional surgical nursing and the experimental group of 17 cases received comprehensive nursing . The incidences of pulmonary infection, incisional infection and adhesive intestinal obstruction were compared between the two groups. Results In the experimental group, there were 2 cases of pulmonary infection, 1 case of incision infection, 2 cases of adhesive intestinal obstruction and 1 case of lower extremity venous thrombosis. In the control group, 4 cases of pulmonary infection, 5 cases of incisional infection, 3 cases of adhesive intestinal obstruction, Venous thrombosis in 6 cases, the difference between the two groups was statistically significant (P <0.05). Conclusion In the elderly patients with colon and intestinal obstruction during the perioperative rational care method can significantly reduce the incidence of lung infection, incision infection and the occurrence of adhesive intestinal obstruction, as it is conducive to postoperative recovery of patients worthy of clinical promotion.