作者：金芳，徐岩，黄紫岚，赖淑蓉

单位：中山大学附属第一医院 胃肠一科, 广东 广州 510080

Authors:  JIN Fang, XU Yan, HUANG Zilan, LAI Shurong

Unit: Department of Gastroenterology Center, First Affiliated Hospital, Guangzhou 510080, Guangdong, China

摘要：

目的  探讨早期床上踩脚踏车活动对结直肠手术患者术后恢复的影响。方法  将100例行结直肠癌根治术患者随机分为实验组和对照组,每组各50例。实验组于术后当天麻醉清醒后2 h开始踩脚踏车活动,活动强度和时间由医生风险评估后实施;对照组行常规的术后活动。分别记录两组患首次出现肛门排气时间,首次排便时间,及术后首次进食情况。结果  踩脚踏车活动可缩短术后禁食时间,促进肠道蠕动,缩短住院时间,差异有统计学意义(均P<0.05),加速病人康复。结论  踩脚踏车活动能明显加快结直肠癌根治术后肠蠕动的恢复,值得临床推广。

关键词： 脚踏车; 肠癌; 快速康复

Abstract：

Objective  To investigate the effect of early bed scooter activity on postoperative recovery in patients undergoing colorectal surgery. Methods  100 patients who had radical resection of colorectal cancer were randomly divided into experimental group and control group, with 50 in each group. In the experimental group, the bed scooter activity was started 2 hours after the anesthesia was awake on the day after surgery. The intensity and time of the activity were evaluated by the doctor's risk assessment; the control group performed routine postoperative activities. The anus exhaust time, defecation time, and the oral intake time after the operation were recorded. Results  Early bed scooter activity can shorten the postoperative fasting time, promote intestinal peristalsis and shorten the length of hospital stay. The difference was statistically significant (P<0.05), which accelerated the recovery of the patient. Conclusion  The activity of pedaling can significantly accelerate the recovery of intestinal peristalsis after radical resection of colorectal cancer, which is worthy of clinical promotion.

Key Words:  Bed scooter activity; Colorectal cancer; Early recovery