Objective To investigate the risk factor of postoperative intestinal obstruction in elderly patients with colorectal cancer.Methods A retrospective analysis was conducted on 300 elderly patients who underwent radical resection for colorectal cancer admitted to Jiangsu Cancer Hospital from January 2021 to February 2024.Patients were divided into an occurrence group(40 cases)and a non occurrence group(260 cases)based on whether intestinal obstruction occurred within 30 days after surgery.Clinical data were collected and compared between the two groups.Multivariate logistic regression analysis model was performed to identify risk fac-tors for postoperative intestinal obstruction.Results The differences in age,gender,smoking history,tumor location,TNM staging,and abdominal surgery history between the two groups were statistically significant(P＜0.05).Multivariate logistic regression analy-sis revealed that age ≥70 years,male gender,rectal tumor,and TNM stage Ⅲ were independent risk factors for the development of intestinal obstruction within 30 days postoperatively in elderly colorectal cancer patients(P＜0.05).Conclusion Elderly patients with colorectal cancer aged≥70 years,male,rectal tumors,TNM stages Ⅲ have a higher risk of developing intestinal obstruction within 30 days after surgery,and clinical attention should be paid.

该文报道了 1 例60 岁男性患者直肠癌根治术后回肠造口周围皮肤压力性损伤的护理.通过采取机械清创联合银离子敷料抗感染治疗+一件式造口产品的使用,营养支持治疗,患者造口周围皮肤压损得到有效控制,最终顺利愈合.

目的 探讨基于量化评估策略护理表对结肠癌手术患者术后康复的影响.方法 随机选取2017年1月1日-2019年10月31日于某院行结肠癌根治术的患者100例作为研究对象,采用随机数字表法分为对照组和观察组,每组各50例.对照组实施常规护理,观察组实施基于量化评估策略护理表的干预.比较2组患者术后康复指标、心理状态、生活质量.结果 观察组首次排气时间(1.84±0.50)天、首次排便时间(2.30±0.54)天、首次下床时间(16.96±5.35)天及总住院时间(9.62±0.64)天均显著低于对照组(2.46±0.63)、(3.57±0.56)、(22.13±5.28)、(12.27±0.71)天(P＜0.05);干预后,观察组抑郁自评量表评分(28.52±5.48)、焦虑自评量表评分(32.65±4.49)显著低于对照组(45.18±5.33)、(42.28±4.47)(P＜0.05),生活质量量表评分(78.53±7.24)显著高于对照组(70.22±7.08) (P＜0.05).结论 量化评估策略护理能够促进结肠癌术后患者恢复,改善负性情绪,最终改善了患者的生活质量.

目的 探究消化道肿瘤病人深静脉置管配合化疗泵持续化疗的临床护理效果.方法 本研究方便选取2016年1月至2018年1月我科收治的86例消化道肿瘤患者,随机分为对照组与观察组,各43例.结果 观察组患者出现静脉炎1例,占2.33％,出现恶心、呕吐反应3例,占6.99％,观察组患者护理后,生活质量评分,焦虑指数评分、抑郁指数评分,均高于对照组.结论 开展针对性消化道肿瘤患者深静脉置管配合化疗泵持续化疗护理,可有效降低静脉炎、恶心呕吐反应临床发生率,提高患者生活质量,改善负性心理情绪.