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1. 西南医科大学附属医院 内分泌科,泸州,646000
2. 西南医科大学 护理学院,泸州,646000
3. 西南医科大学附属医院 胃肠外科,泸州,646000
纸质出版日期:2022,
网络出版日期:2022-11-20,
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朱世琴, 邓, 波, 等. 结直肠癌腹腔镜术后病人早期下床活动与恢复质量的相关性[J]. 西南医科大学学报, 2022,45(6):535-538.
Correlation between early mobilization and recovery quality in postoperative patients with colorectal cancer[J]. Journal of Southwest Medical University, 2022,45(6):535-538.
朱世琴, 邓, 波, 等. 结直肠癌腹腔镜术后病人早期下床活动与恢复质量的相关性[J]. 西南医科大学学报, 2022,45(6):535-538. DOI: 10.3969/j.issn.2096-3351.2022.06.014.
Correlation between early mobilization and recovery quality in postoperative patients with colorectal cancer[J]. Journal of Southwest Medical University, 2022,45(6):535-538. DOI: 10.3969/j.issn.2096-3351.2022.06.014.
目的 探讨结直肠癌腹腔镜术后病人早期下床活动与恢复质量的相关性,旨在为结直肠癌病人术后早期活动方案的制定提供循证医学依据。方法 选取2019年1月至12月于四川省某三级甲等综合性医院胃肠外科拟行腹腔镜结直肠癌根治手术患者120例。依据术后24 h内是否下床活动分组,将术后24 h内下床活动者纳入A组,术后24 h内未下床活动者纳入B组。比较两组术后3 d活动量、术后第3 d15项恢复质量量表(QOR-15,15-item Quality of Recovery)、首次排气时间和视觉模拟评分(VAS),Pearson相关性分析术后3 d活动量与术后首次排气时间、QOR-15评分及各维度评分的相关性。结果 两组术后QOR-15评分、术后3 d活动量、首次排气时间、VAS评分差异均具有统计学意义(P < 0.05);相关性分析表明,两组病人术后活动量与QOR-15评分呈正强相关(P < 0.05),与QOR-15各维度评分呈正相关(P < 0.05),与首次排气呈中等负相关(P < 0.05)。结论 结直肠癌术后病人恢复质量与术后早期下床活动相关,术后3 d活动量增加,早期恢复质量越好,术后早期下床活动可能有助于提高恢复质量,但仍需扩大样本量进行多中心深入研究以建立因果关系。
Objective To explore the correlation between early mobilization and recovery quality in patients with colorectal cancer after laparoscopic surgery,so as to provide evidence-based medical basis for the formulation of early mobilization program after colorectal cancer surgery. Methods A total of 120 patients undergoing laparoscopic radical resection of colorectal cancer in the Department of Gastrointestinal surgery in a third-class general hospital in Sichuan Province from January to December in 2019 were selected. According to whether the patients got out of bed within 24 hours after operation,those who got out of bed within 24 hours after operation were divided into group A,and those who did not were included in group B. The activity volume at 3 days after operation,15-item quality of recovery (QOR-15 ) score on the 3rd day after operation,first exhaust time and visual analogue scale (VAS ) score were compared between the two groups. Pearson correlation analysis was used to analyze the correlation between the activity volume at 3 days after operation and the first exhaust time,QOR-15 score and scores of various dimensions. Results There were significant differences in postoperative QOR-15 score,postoperative activity volume at 3 days,first exhaust time and VAS score between the two groups(P < 0.05),and correlation analysis showed that postoperative activity was positively correlated with QOR-15 score(P < 0.05),positively correlated with QOR-15 score in all dimensions(P < 0.05) ,and moderately negatively correlated with first exhaust score(P < 0.05). Conclusion The early recovery quality of postoperative patients with colorectal cancer was related to the early mobilization after operation. The increase of activities 3 days after operation could better the quality of early recovery ,and the early postoperative mobilization might help to improve the quality of early recovery after operation. However,it is still necessary to expand the sample size and conduct in-depth research to establish a causal relationship.
加速康复外科腹腔镜手术结直肠癌早期下床活动恢复质量
Enhanced recovery after surgeryLaparoscopic surgeryColorectal cancerEarly mobilizationRecovery Quality
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