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康复训练联合辅助车在食管癌根治术后患者中的应用研究

Application of rehabilitation training combined with assistive vehicles in patients after esophageal cancer radical surgery

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【作者】 陈丽华林莹陈桂荣何家贤

【Author】 CHEN Lihua;LIN Ying;CHEN Guirong;HE Jiaxian;Department of Cardiothoracic Surgery, Wuzhou Red Cross Hospital;

【机构】 广西壮族自治区梧州市红十字会医院心胸外科

【摘要】 目的 探讨康复训练联合辅助车在食管癌根治术后患者中的应用效果。方法 选取2020年1月至2022年8月在梧州市红十字会医院心胸外科行食管癌根治术60例患者为研究对象,按照随机数表法分为试验组(n=30)和对照组(n=30),其中对照组按术后护理常规进行护理(包括有氧训练、管道护理、并发症观察、鼓励早期下床活动、疼痛管理等),试验组在术后护理常规基础上给予康复训练联合辅助车进行干预,分别对两组患者的术后相关指标、心肺功能和生活质量水平进行比较。结果 试验组患者术后疼痛评分低于对照组,而住院时间短于对照组,差异有统计学意义(P <0.05);两组患者干预前心肺功能、生活质量评分比较,差异无统计学意义(P> 0.05)。干预后两组患者心肺功能、生活质量评分相关指标均高于干预前,试验组各指标均高于对照组,差异有统计学意义(P <0.05)。结论 康复训练联合辅助车可以有助于改善食管癌根治术后的心肺功能和短期疼痛症状,且在一定程度上提高了患者的生活质量,值得推广。

【Abstract】 Objective To explore the application effect of rehabilitation training combined with assistive vehicles in patients after esophageal cancer radical surgery. Methods A total of 60 patients who underwent esophageal cancer radical surgery in the Department of Cardiothoracic Surgery, Wuzhou Red Cross Hospital from January 2020 to August 2022 were selected as the study subjects. They were randomly divided into an experimental group(n=30) and a control group(n=30) according to a random number table. The control group received routine postoperative nursing care(including aerobic training, pipeline nursing, observation of complications, encouragement of early mobilization, pain management, etc.), while the experimental group received rehabilitation training combined with assistive vehicles on the basis of routine postoperative nursing care. The postoperative related indexes, cardiopulmonary function, and quality of life levels of the two groups of patients were compared. Results The postoperative pain score of the experimental group patients was lower than that of the control group, and the hospitalization time was shorter than that of the control group, with statistically significant differences(P < 0.05). There was no statistically significant difference in cardiopulmonary function and quality of life scores between the two groups of patients before intervention(P > 0.05). After intervention,both groups of patients showed higher levels of cardiovascular function and quality of life scores compared to before intervention. The experimental group had higher levels of all indexes than the control group, and the differences were statistically significant(P < 0.05). Conclusion Rehabilitation training combined with assistive vehicles can help improve cardiovascular function and short-term pain symptoms after esophageal cancer radical surgery, and to some extent improve patients’ quality of life, which is worth promoting.

【基金】 广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211387)
  • 【文献出处】 中国医药科学 ,China Medicine and Pharmacy , 编辑部邮箱 ,2024年24期
  • 【分类号】R473.73
  • 【下载频次】6
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