학술논문
渐进式功能锻炼在食管癌术后患者中的应用 / The application of progressive functional exercise to the postoperative of esophageal cancer
Document Type
Academic Journal
Author
Source
国际护理学杂志 / International Journal of Nursing. 36(18):2461-2465
Subject
Language
Chinese
ISSN
1673-4351
Abstract
目的 探讨食管癌患者术后应用渐进式功能锻炼的安全性和对术后恢复情况、营养状况及并发症的影响.方法 2014年1月~2016年1月，选择三级甲等综合医院行食管癌根治术的患者60例，按随机数字表分为对照组和观察组各30例.对照组术后行常规锻炼，观察组行渐进式功能锻炼，比较两组患者术后恢复情况、营养状况及并发症的发生情况.结果 观察组患者术后肛门排气排便时间、拔除胸管时间、术后住院时间较对照组均缩短，差异有统计学意义（P＜0.05）；对照组和观察组术后第10天的营养指标较术后第1天均有所改善，观察组术后第10天的血红蛋白、血清总蛋白、血液白蛋白指标优于对照组，差异有统计学意义（P＜0.05）；观察组患者术后发生肺炎肺不张、胸腔积液、心律失常、乳糜胸、吻合口瘘的并发症例数均少于对照组，差异有统计学意义（P＜0.05）.结论 食管癌患者术后进行功能锻炼安全可靠，可促进患者术后恢复，改善其营养状况，并减少术后并发症的发生，缩短术后住院时间.
Objective To investigate the safety of progressive functional exercise and the effects on postoperative recovery,nutritional status and complications of esophageal cancer patients. Methods From January 2014 to January 2016,60 patients with radical treatment of esophageal cancer from a Class 1,Grade 3 general hospital were selected and were randomly divided into the control group and the observation group according to the random number table,30 cases of each group.In the control group,routine exercise was performed,and the observation group underwent progressive functional exercise.The postoperative recovery, nutritional status and complications of the two groups after operation were observed.Results The time of postoperative anal exhaust defecation,the removal of thoracic duct and the length of postoperative hospitalization of the observation group were shorter than that of the control group,and the difference was statistically significant(P＜0.05). The nutrition indicators of the two groups on the tenth day after the operation were improved than that of the first day after operation.The indexes of hemoglobin,serum total protein and albumin blood of the observation group on the tenth day after the operation was better than that of the control group,and the difference was statistically significant(P＜0.05). The complications of pneumonia,pleural effusion,arrhythmias,chylothorax and anastomotic fistula of the observation group were less than the control group,and the difference was statistically significant(P＜0.05).Conclusions Postoperative functional exercise in patients with esophageal cancer is safe and reliable,which can promote postoperative recovery of patients,improve their nutritional status,reduce postoperative complications,and shorten postoperative hospital stay.
Objective To investigate the safety of progressive functional exercise and the effects on postoperative recovery,nutritional status and complications of esophageal cancer patients. Methods From January 2014 to January 2016,60 patients with radical treatment of esophageal cancer from a Class 1,Grade 3 general hospital were selected and were randomly divided into the control group and the observation group according to the random number table,30 cases of each group.In the control group,routine exercise was performed,and the observation group underwent progressive functional exercise.The postoperative recovery, nutritional status and complications of the two groups after operation were observed.Results The time of postoperative anal exhaust defecation,the removal of thoracic duct and the length of postoperative hospitalization of the observation group were shorter than that of the control group,and the difference was statistically significant(P＜0.05). The nutrition indicators of the two groups on the tenth day after the operation were improved than that of the first day after operation.The indexes of hemoglobin,serum total protein and albumin blood of the observation group on the tenth day after the operation was better than that of the control group,and the difference was statistically significant(P＜0.05). The complications of pneumonia,pleural effusion,arrhythmias,chylothorax and anastomotic fistula of the observation group were less than the control group,and the difference was statistically significant(P＜0.05).Conclusions Postoperative functional exercise in patients with esophageal cancer is safe and reliable,which can promote postoperative recovery of patients,improve their nutritional status,reduce postoperative complications,and shorten postoperative hospital stay.