快速康复护理对妇科子宫内膜癌患者腹腔镜术后胃肠功能恢复的影响研究金娟

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《临床用药研究》( ISSN3105-6741、EISSN3105-675X )

发布者：Quest Press

发布日期：2026/1/11

10.12479/questpress-lcyyyj.20250206

Open Access

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快速康复护理对妇科子宫内膜癌患者腹腔镜术后胃肠功能恢复的影响研究

金娟

河南中医药大学第五临床医学院（郑州人民医院），河南郑州，450003

摘要：目的：探讨快速康复护理对妇科子宫内膜癌患者腹腔镜术后胃肠功能恢复的影响，为临床护理方案优化提供依据。方法：选取60例子宫内膜癌腹腔镜手术患者，随机分为观察组与对照组各30例。对照组采用常规护理，观察组实施快速康复护理，对比两组氧化应激反应、手术相关指标、胃肠功能恢复情况及并发症发生率。结果：术后1d观察组晚期氧化蛋白产物（AOPP）、活性氧（ROS）、丙二醛（MDA）水平均低于对照组（P）；观察组麻醉时间、手术时间短于对照组，术中出血量少于对照组，术中体温高于对照组（P<0.05）；观察组术后进水、进食、肛门排气、排便时间及引流管放置时间均显著短于对照组（P<0.001）；观察组并发症总发生率10.00%，低于对照组33.33%（P.05）。结论：快速康复护理可减轻子宫内膜癌腹腔镜术后患者氧化应激反应，优化手术相关指标，加速胃肠功能恢复，降低并发症发生率，值得临床推广。
关健词：快速康复护理；子宫内膜癌；腹腔镜手术；胃肠功能恢复；氧化应激；并发症

Study on the effect of rapid rehabilitation nursing on gastrointestinal function recovery in gynecological endometrial cancer patients after laparoscopic surgery

Juan Jin
The Fifth Clinical Medical College of Henan University of Chinese Medicine/Zhengzhou People's Hospital，450003

Abstract：Objective： To explore the effect of rapid rehabilitation nursing on the recovery of gastrointestinal function in patients with gynecological endometrial cancer after laparoscopic surgery，and provide a basis for optimizing clinical nursing plans. Method: Sixty patients undergoing laparoscopic surgery for endometrial cancer were randomly divided into an observation group and a control group，with 30 patients in each group. The control group received routine care，while the observation group received rapid rehabilitation care. The oxidative stress response，surgical related indicators，gastrointestinal function recovery，and incidence of complications were compared between the two groups. On postoperative day 1，the levels of advanced oxidative protein products（AOPP），reactive oxygen species（ROS），and malondialdehyde（MDA） in the observation group were lower than those in the control group（P）；The observation group had shorter anesthesia and surgery time than the control group，less intraoperative bleeding，and higher intraoperative body temperature than the control group （P<0.05）；The observation group had significantly shorter postoperative water intake，feeding，anal emptying，defecation time，and drainage tube placement time compared to the control group（P<0.001）；The total incidence of complications in the observation group was 10.00%，which was lower than the control group's 33.33% （P.05）. Conclusion: Rapid rehabilitation nursing can alleviate oxidative stress response in patients with endometrial cancer after laparoscopic surgery，optimize surgical related indicators，accelerate gastrointestinal function recovery，and reduce the incidence of complications. It is worthy of clinical promotion.
Keywords : rapid rehabilitation nursing；Endometrial cancer；Laparoscopic surgery；Recovery of gastrointestinal function；Oxidative stress；Complications

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