袁三英 韩爱华 刘静梅

    [摘要] 目的 探討体位康复训练对腹腔镜结肠癌患者术后胃肠功能与并发症的影响。 方法 选择四川绵阳四〇四医院于2013年10月～2015年10月接收的被确诊为结肠癌并接受腹腔镜手术治疗的96例患者作为研究对象。采用随机数字表法分为对照组与观察组，每组各48例。对照组术后实施常规护理，观察组术后采用体位康复训练配合常规护理。比较两组患者的术后腹胀发生情况、胃肠功能恢复情况、手术情况、手术费用以及术后并发症发生率等。 结果 采用不同方案进行护理后，对照组术后2 d腹胀发生率显著高于观察组(P 0.05)。观察组住院时间、下床时间和住院费显著低于对照组(P < 0.05)。观察组并发症发生率显著低于对照组(P < 0.05)。 结论 针对结肠癌患者腹腔镜采取体位康复训练进行护理干预疗效显著，能够明显缩短患者住院时间，降低术后腹胀发生率及相关并发症概率，改善患者的胃肠功能恢复情况，提高患者的生活质量，临床上值得继续推广。

    [关键词] 体位康复训练；腹腔镜；结肠癌；胃肠功能；并发症

    [中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)07(a)-0174-04

    [Abstract] Objective To explore the influence of posture intervention on the gastrointestinal function and complication in patients with colon cancer after laparoscopic cholecystectomy. Methods 96 patients with colon cancer from October 2013 to October 2015 in Sichuan Mianyang 404 Hospital were selected as the research objects， all of them were randomly divided into control group and study group by random number table， with 48 cases in each group. The control group was received conventional nursing， the study group was received posture intervention on the basis of the control group. The postoperative abdominal distension ......