直肠癌永久性肠造口患者排便管理研究进展
摘要
<正>世界卫生组织报告,近五年的恶性肿瘤患者中10.9%为结直肠癌,其发病率仅低于乳腺癌和前列腺癌[1]。自1908年Miles提出腹会阴联合切除术(APR)以来,至今APR仍为治疗低位性直肠癌的标准术式[2]。患者腹壁肠造口后排泄物需通过造口排出体外,改变了正常生理排便途径,出现排便无控制意识、排便次数增加、排便无规律等现象,造口周围皮炎等并发症发生率增加[3-4]。有文献报道,永久性结肠造口患者排便管理能力处于
引文
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[19]Puerta Díaz JD,Casta1o Llano R,Lombana LJ,et al.Use of the gluteus maximus muscle as the neosphincter for restoration of analfunction after abdominoperineal resection[J].Tech Coloproctol,2013,17(4):425-429.
[20]Bari2i'c G1,Krivokapi'c Z.Adynamic and dynamic muscletransposition techniques for anal incontinence[J].Gastroenterol Rep(Oxf),2014,2(2):98-105.
[21]颜育祥.两种乙状结肠造口对术后造口并发症、排便及生活质量影响的对比分析[J].中国高等医学教育,2014(10):122-129.
[22]蔡伟.腹会阴联合直肠癌切除术后的全肛门直肠重建的研究进展[J].中国普通外科杂志,2016,25(4):598-603.
[23]梅小杨,马小琴,应立英,等.生大黄脐疗对结肠造口病人排便管理的影响[J].护理研究,2013,27(17):1741-1743.
[24]吴新军,张婷婷,匡玉庭.腹部功能训练对腹膜外结肠造口术后造口功能及并发症的影响分析[J].中国医学前沿杂志,2015,10(7):31-33.
[25]Kasparek MS,Hassan I,Cima RR,et al.Quality of life after rectal excision and coloanal anastomosis for distal recral cancers:sphincter preservation versus quality of life[J].Colorectal Dis,2010,13(8):872-877.
[26]罗三娣,罗少生,廖清华,等.造口灌洗与永久性结肠造口患者排便规律研究[J].中国医药导报,2014,11(14):122-125.
[27]戴志毅,易文全,刘玲.生物反馈治疗功能性大便失禁疗效观察[J].四川医学,2011,32(9):1391-1393.
[28]邓新生,刘增亮,梁海生,等.结肠灌洗联合生物电反馈治疗改善结肠造口患者生活质量研究[J/CD].中华疝和腹壁外科杂志:电子版,2013,7(3):237-240.
[29]杨飞.直肠癌保肛术后排便功能与中医体质的相关性研究[D].广州:广州中医药大学,2016.
[30]杨柳,黄桂芳,王珑,等.穴位按摩对直肠癌永久性肠造口患者排便功能及生命质量的影响[J].广西中医药大学学报,2011,14(4):3-6.
[31]王玉芳,阎翠兰,赵芳菲,等.针灸摩腹促进结肠造口排便规律形成的作用[J].护士进修杂志,2010,25(8):740-741.
[32]李文.功能锻炼对腹膜外结肠造口术后排便信号的影响[J].实用临床医药杂志,2012,16(15):162-164.
[33]卢春燕,陈玲,向巍.早期饮用温水在肠造瘘术后患者造口排气排便中的应用效果[J].护理实践与研究,2013,10(2):34-35.
[34]卢春燕,印义琼,文曰,等.开塞露对肠造瘘术后造口排气排便的影响研究[J].护士进修杂志,2012,27(13):1216-1217.
[35]王方,章泾萍,李慧.延续性饮食干预策略对肠造口病人排便功能的影响[J].护理研究,2013,27(34):3859-3861.
[2]Dumont F,Ayadi M,GoéréD,et al.Comparison of fecal continence and quality of life between intersphincteric resection and abdominoperineal resection plus perineal colostomy for ultralow rectal cancer[J].J Surg Oncol,2013,108(4):225-229.
[3]梁霞,王坤容,肖旭霞.对结肠造口患者采用排便规律及排便意识训练的效果[J].国际护理学杂志,2015,16(34):2180-2182.
[4]李志华.无支撑回结肠造口应用于低位结肠肛管吻合术中的护理措施[J].中国现代药物应用,2012,6(8):119-120.
[5]朱立瑞.直肠癌结肠造口患者的排便现状分析[J].当代护士(学术版),2013(12):106-107.
[6]张亚琪,刘希红,徐宇红.干预对直肠癌根治术并行造口术患者排便自我管理能力的影响[J].中华护理杂志护理,2010,45(7):588-590.
[7]陈玲玲,陆海英,施雁.上海地区肠造口患者对造口护理门诊需求现状的调查与分析[J].解放军护理杂志,2014,31(7):11-14.
[8]王江华,崔雅清.团体行为干预对腹腔镜直肠癌手术患者肛门训练依从度的影响[J].结直肠肛门外科,2017,23(4):553-557.
[9]陈震宏,张苏展.经腹膜内和经腹膜外腹壁结肠造口比较分析[J].实用肿瘤杂志,2004,19(3):236-237.
[10]Emmertsen KJ,Laurberg S.Low anterior resection syndrome score:development and validation of a symptom—based scofing system for bowel dysfunction after low anterior resection for rectal cancer[J].Ann Surg,2012,255(5):922—928.
[11]王应天.大肠癌患者术后排便功能异常的临床特征及辨证中药干预的疗效观察[D].北京:北京中医药大学,2016.
[12]Bryant CL,Lunniss PJ,Knowles CH,et al.Anterior resection syndrome[J].Lancetoncol,2012,13(9):403-408.
[13]席淑华,季华萍,周立.结肠造口患者护理手册[M].上海:上海科学技术文献出版,2002:7-8.
[14]Hüttner FJ,Tenckhoff S,Jensen K,et al.Meta-analysis of reconstruction techniques after low anterior resection for rectal cancer[J].Br J Surg,2015,102(7):735-745.
[15]Si C,Zhang Y,Sun P.Colonic J-pouch versus Baker type for rectal reconstruction after anterior resection of rectal cancer[J].Scand J Gastroenterol,2013,48(12):1428-1435.
[16]Mehrvarz S,Towliat SM,Mohebbi HA,et al.Comparison of Colonic J-pouch and Straight Coloanal anastomosis after Low Anterior Resection[J].Iran Red Crescent Med J,2013,15(1):32-35.
[17]Biondo S,Frago R,Codina Cazador A,et al.Long-term functional results from a randomized clinical study of transverse coloplasty compared with colon J-pouch after low anterior resection for rectalcancer[J].Surgery,2013,153(3):383-392.
[18]Parray FQ,Magray JA,Dar MA,et al.Coloplasty neorectum versus straight anastomosis in low rectal cancers[J].ISRN Surg,2014:382371.
[19]Puerta Díaz JD,Casta1o Llano R,Lombana LJ,et al.Use of the gluteus maximus muscle as the neosphincter for restoration of analfunction after abdominoperineal resection[J].Tech Coloproctol,2013,17(4):425-429.
[20]Bari2i'c G1,Krivokapi'c Z.Adynamic and dynamic muscletransposition techniques for anal incontinence[J].Gastroenterol Rep(Oxf),2014,2(2):98-105.
[21]颜育祥.两种乙状结肠造口对术后造口并发症、排便及生活质量影响的对比分析[J].中国高等医学教育,2014(10):122-129.
[22]蔡伟.腹会阴联合直肠癌切除术后的全肛门直肠重建的研究进展[J].中国普通外科杂志,2016,25(4):598-603.
[23]梅小杨,马小琴,应立英,等.生大黄脐疗对结肠造口病人排便管理的影响[J].护理研究,2013,27(17):1741-1743.
[24]吴新军,张婷婷,匡玉庭.腹部功能训练对腹膜外结肠造口术后造口功能及并发症的影响分析[J].中国医学前沿杂志,2015,10(7):31-33.
[25]Kasparek MS,Hassan I,Cima RR,et al.Quality of life after rectal excision and coloanal anastomosis for distal recral cancers:sphincter preservation versus quality of life[J].Colorectal Dis,2010,13(8):872-877.
[26]罗三娣,罗少生,廖清华,等.造口灌洗与永久性结肠造口患者排便规律研究[J].中国医药导报,2014,11(14):122-125.
[27]戴志毅,易文全,刘玲.生物反馈治疗功能性大便失禁疗效观察[J].四川医学,2011,32(9):1391-1393.
[28]邓新生,刘增亮,梁海生,等.结肠灌洗联合生物电反馈治疗改善结肠造口患者生活质量研究[J/CD].中华疝和腹壁外科杂志:电子版,2013,7(3):237-240.
[29]杨飞.直肠癌保肛术后排便功能与中医体质的相关性研究[D].广州:广州中医药大学,2016.
[30]杨柳,黄桂芳,王珑,等.穴位按摩对直肠癌永久性肠造口患者排便功能及生命质量的影响[J].广西中医药大学学报,2011,14(4):3-6.
[31]王玉芳,阎翠兰,赵芳菲,等.针灸摩腹促进结肠造口排便规律形成的作用[J].护士进修杂志,2010,25(8):740-741.
[32]李文.功能锻炼对腹膜外结肠造口术后排便信号的影响[J].实用临床医药杂志,2012,16(15):162-164.
[33]卢春燕,陈玲,向巍.早期饮用温水在肠造瘘术后患者造口排气排便中的应用效果[J].护理实践与研究,2013,10(2):34-35.
[34]卢春燕,印义琼,文曰,等.开塞露对肠造瘘术后造口排气排便的影响研究[J].护士进修杂志,2012,27(13):1216-1217.
[35]王方,章泾萍,李慧.延续性饮食干预策略对肠造口病人排便功能的影响[J].护理研究,2013,27(34):3859-3861.