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目的探讨整体程序化护理对胃癌根治术后患者胃乏力及免疫功能的影响。方法选取2012年1月至2013年6月间上海市新华医院收治的100例胃癌根治术患者,采用随机数表法分为观察组与对照组,每组50例。观察组患者采用整体程序化的护理干预,对照组患者采用常规护理,对比分析两组患者的胃乏力发生率、开始进食时间、肛门排气时间、肠鸣音恢复时间、排便时间以及T淋巴细胞亚群(CD4~+、CD8~+)水平。结果观察组患者的胃乏力发生率、开始进食时间、肛门排气时间、肠鸣音恢复时间、排便时间及CD4~+、CD8~+和CD4~+/CD8~+三项指标明显优于对照组,差异均有统计学意义(均P<0.05)。结论整体程序化护理可改善胃癌根治术后患者胃乏力症状,提高患者免疫功能,提高患者生活质量水平,值得临床推广应用。
Objective To investigate the effect of overall programmed nursing on gastric mucosal fatigue and immune function in patients with gastric cancer after radical operation. Methods From January 2012 to June 2013, 100 cases of radical resection of gastric cancer treated in Xinhua Hospital of Shanghai were selected and randomly divided into observation group and control group with 50 cases in each group. The patients in the observation group were treated with the whole program of nursing intervention. The patients in the control group were treated with routine nursing. The incidence of gastric mucosal fatigue, time to start eating, anal exhaust time, bowel sounds recovery time, defecation time and T lymphocytes Subgroups (CD4 ~ +, CD8 ~ +) levels. Results The incidence of gastric mucosal fatigue, time to start eating, anal exhaust time, bowel sound recovery time, defecation time and CD4 ~ +, CD8 ~ + and CD4 ~ + / CD8 ~ + in the observation group were significantly better than those in the control Group, the differences were statistically significant (all P <0.05). Conclusion The overall procedural care can improve gastric mucosal symptoms, improve immune function and improve quality of life in patients with gastric cancer after radical operation, which is worthy of clinical application.