[1]邵灵慧,韩 雨,杨 洋,等.多模式家庭肠道预康复策略对溃疡性结肠炎IPAA术后造口还纳病人肠功能恢复的影响[J].肠外与肠内营养杂志,2022,(06):364-369.[doi:10.16151/j.1007-810x.2022.06.008]
　SHAO Ling-hui,WANG Li-qun,HAN Yu,et al.Effect of multi-mode prerehabilitation strategy on intestinal function of the patients with ulcerative colitis after IPAA[J].PARENTERAL & ENTERAL NUTRITION,2022,(06):364-369.[doi:10.16151/j.1007-810x.2022.06.008]
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多模式家庭肠道预康复策略对溃疡性结肠炎IPAA术后造口还纳病人肠功能恢复的影响
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2022年06期
页码:
364-369
栏目:
论著
出版日期:
2022-11-10

文章信息/Info

Title:
Effect of multi-mode prerehabilitation strategy on intestinal function of the patients with ulcerative colitis after IPAA
作者:
邵灵慧1; 韩 雨 2; 杨 洋1; 龚剑峰1
中国人民解放军东部战区总医院1.普通外科，江苏南京 210002；3.蚌埠医学院，安徽蚌埠 233000
Author(s):
SHAO Ling-hui1;  WANG Li-qun2;  HAN Yu3;  YANG Yang1;  GONG Jian-Feng1
1. Department of Surgery, 2. Department of Casualty management, General Hospital of the Eastern Theater of the Chinese People's Liberation Army ,Nanjing 210002, Jiangsu, China；3.Bengbu Medical College, Benbu 210002, Anhui, China
关键词:
预康复 ; 溃疡性结肠炎 ; 造口还纳术
Keywords:
Prerehabilitation;  Ulcerative colitis;  Stoma closure
分类号:
R459.3，R574.1
DOI:
10.16151/j.1007-810x.2022.06.008
文献标志码:
A
摘要:
目的：探讨多模式家庭肠道预康复策略对溃疡性结肠炎IPAA术后造口还纳病人肠功能恢复的效果研究。 方法：选择120例溃疡性结肠炎IPAA术后预行造口还纳术的病人按入院时间段分为对照组60例，实验组60例。对照组对于IPAA术后出院的病人做常规的健康宣教，实验组在对照组的基础上采取家庭肠道预康复措施。比较两组病人术后通气时间、术后住院天数，两组病人入院时、术后1周、术后4周的6分钟步行距离，以及两组病人入院时、术后3d、术后7d的前白蛋白和白蛋白的指标。 结果：实验组术后通气时间、术后住院天数均少于对照组，差异有统计学意义（P < 0.05）；实验组入院时、术后1周、术后4周的6min步行距离均高于对照组，差异有统计学意义（P < 0.05）；实验组入院时、术后 3 d、术后 7 d 的前白蛋白、白蛋白均高于对照组，差异有统计学意义（P <0.05）。 结论：多模式的家庭肠道预康复策略有助于促进IPAA术后病人肠道功能、心肺功能及营养状况的恢复，从而更好地承受手术应激，加速术后康复，缩短住院时间。
Abstract:
Objective: To explore the use of multi-mode preoperative rehabilitation strategy in patients with ulcerative colitis (UC) undergoing preoperative stoma resection. Methods: A total of 120 UC patients who underwent preoperative stoma resection after IPAA were enrolled in this study. The patients receiving multi-mode preoperative rehabilitation interventions at home were assigned to the experimental group (n = 60), and those receiving routine treatment and nursing after IPAA as the control group (n = 60). Postoperative ventilation time, postoperative hospitalization days, 6-minute walking distance at admission, 1 week and 4 weeks after surgery, and prealbumin and albumin indexes at admission, 3 days and 7 days after surgery were compared between the two groups. Results: The 6-minute walking distances in the experimental group were significantly higher than those in the control group at admission, 1 and 4 weeks postoperation (P < 0.05). The serum levels of pre-albumin and albumin in the experimental group at 1 day preoperation, 3 days postoperation and discharges were higher than those in the control group (P < 0.05). The hospitalization days were markedly reduced as compared with the control group (P < 0.05). Conclusion: Multi mode pre- rehabilitation interventions at home could contribute to enhancing the recovery of intestinal function after surgery, and reducing surgical stress and hospitalization days in the patients with UC.

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备注/Memo

备注/Memo:
基金项目 ：南京市科技计划项目（201715008） 作者简介 ：邵灵慧，护师，护理学本科，主要从事胃肠外科围手术期护理的相关研究。 E-mail：1244585974@qq.com 通讯作者 ：杨 洋，E-mail：515854604@qq.com
更新日期/Last Update: 1900-01-01