中文摘要：

目的探讨医护一体化护理干预促进食管癌患者快速康复的临床效果。方法选取2011年1-6月接受食管癌根治术的食管鳞癌患者117例，将4-6月接受手术的63例患者设为研究组，围手术期采用快速康复理念进行处理，1—3月接受手术的54例患者设为对照组，围手术期给予常规护理。比较两组患者手术前后营养指标、术后恢复情况及并发症发生情况。结果手术前两组患者ALB、PAB、TRF水平比较，差异均无统计学意义（P〉0．05）；术后第8天时，两组患者ALB水平比较，差异无统计学意义（P〉0．05）；术后研究组患者PAB、TRF分别为（0．22±0．04），（1．72±0．38）g/L，均高于对照组的（0．18±O．04），（1．53±0．36）g／L，差异均有统计学意义（t分别为4．7234，2．7622；P〈0．01）；研究组患者术后胃肠减压引流量、术后排气时问、术后拔除胸腔引流管时间、术后住院时间及住院总费用均显著低于对照组，差肄均有统计学意义（t分别为38．709，-62．367，-29．403，-15．415，-14．760；P〈0．01）；研究组和对照组术后并发症的发生率分别为7．9％和24．1％，差异有统计学意义（x2=5．817，P〈0．05）。结论医护一体化护理干预可以促进食管癌患者快速康复，改善患者临床结局。

英文摘要：

Objective To study the clinical effect of all-in-one numing intervention to promote esophageal cancer patients＇ recovery. Methods t 17 patients with esophageal squamous cell carcinoma who had radical resection of esophageal carcinoma from Jan to Jun 2011 were enrolled in＂ this study. 63 cases who had surgery from April to june 2011 were the research group and received nursing under fast recovery theory during perioperative period, while 54 cases who had surgery from January to March were the control group and received conventional nursing. Two groups＇ nutritional indexs before and after surgery, recovery after surgery and the incidence of complication was compared. Results There was no significant difference in patients＇ ALB, PAB and TRF levels between two groups before surgery （P 〉 0.05 ）. There was no significant difference in patients＇ ALB between two groups on the 8th day after the surgery （ P 〉 0. 05 ）. The PAB and TRF of patients in the research group after surgery were respectively （0.22 _＋0.04） and （1.72 ＋_0.38） g/L, both higher than those in the control group [ （0.18 -＋0.04） and （1.53 ＋-0.36） g/L], and the differences were statistically significant （t =4. 723 4, 2. 762 2, respectively; P 〈 0. 01 ）. The drainage of gastrointestinal decompression, exsufflation time, time for removing pleural cavity drainage tube, time in hospital and cost of hospitalization ＇after surgery were all lower in the research group than in the control group, and the differences were statistically significant （t =38. 709, -62. 367, -29.403, - 15. 415, - 14. 760, respectively; P 〈0. 01 ）. The incidence rate of postoperative complication was 7.9% in the research group and 24.1% in the control group, and the difference was statistically significant （ X2 = 5. 817, P 〈 0.05 ）. Conclusions All-in-one nursing intervention can promote esophageal cancer patients＇ quick recovery, so as to improve their clinical outcome.