| 张敬浩,董明.直肠癌结肠造瘘术后并发症护理措施回顾性分析[J].安徽医药,2018,22(7):1413-1415. |
| 直肠癌结肠造瘘术后并发症护理措施回顾性分析 |
| Retrospective analysis of nursing measures for rectal cancer patients with postoperative complications after colostomy |
| 投稿时间：2017-04-18 |
| DOI： |
| 中文关键词: 结肠造口术/副作用 直肠肿瘤 围手术期护理 健康教育 |
| 英文关键词: Colostomy/ adverse effects Rectal neoplasms Perioperative nursing Health education |
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| 中文摘要: |
| 目的 探讨直肠癌患者行结肠造瘘术后造瘘口并发症的护理措施。 方法 2014年11月至2016年6月中国医科大学附属第一医院胃肠外科行结肠造瘘术患者105例,术后造瘘口发生并发症的患者共24例,其中乙状结肠造瘘术后并发症21例,横结肠造瘘术后并发症3例。24例患者中,瘘口周围感染患者16例,瘘口粘膜水肿患者3例,瘘口狭窄患者3例,肠管脱垂与瘘口旁疝患者各1例。 将瘘口护理、心理护理与健康宣教相结合,对患者实施个性化的护理措施。结果 24例患者全部好转出院,平均住院时间15.8 d,患者满意度100%。结论 对于结肠造瘘术后并发症的患者,应究其病因有针对性的进行护理,并加强心理疏导,达到加速患者康复、提高生活质量的目的。 |
| 英文摘要: |
| Objective To discuss the nursing measures for rectal cancer patients with postoperative complications after colostomy. Methods From November 2014 to June 2016, department of gastrointestinal surgery under the First Affiliated Hospital of China Medical University 105 cases of colostomy were managed. Among them, postoperative complications were developed in 24 cases, in which sigmoid colostomy in 21 cases and transverse colostomy in 3 cases. Within 24 cases, infections of fistula were developed in 16 cases, oral mucosal edema in 3 cases, Fistula stenosis 3 cases, intestinal fistula prolapse and hernia 1 case respectively. By combining fistula nursing, psychological nursing and health education, individualized nursing measures were done for patients. Results All the patients were recovered and discharged as well as with 100 % satisfaction. The average length of stay is 15.8 d. Conclusions For patients with postoperative complications of colostomy, we should focus on cause of disease, carry out pointed nursing and strengthen psychological counseling to promote patients’ recovery and improve their living standard. |
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