腹腔镜结直肠癌根治术后患者早期下床活动现状及影响因素
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罗晨, 沈玲, 王传伟, 顾佳妮, 王瑾, 赵黎, 黄帅
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Current status and influencing factors of early mobilization of patients undergoing laparoscopic radical resection of colorectal cancer
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LUO Chen, SHEN Ling, WANG Chuanwei, GU Jiani, WANG Jin, ZHAO Li, HUANG Shuai
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表2 未早期下床组与早期下床组相关资料比较
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Tab 2 Comparison of relevant factors between the non-early mobilization group and the early mobilization group
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Item | Non-early mobilization group (n=230) | Early mobilization group (n=47) | χ2/t value | P value |
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Gender/n(%) | | | 2.015 | 0.156 | Male | 136 (59.13) | 33 (70.21) | | | Female | 94 (40.87) | 14 (29.79) | | | Age/n(%) | | | 6.000 | 0.049 | <60 years old | 63 (27.39) | 21 (44.68) | | | 60‒69 years old | 96 (41.74) | 17 (36.17) | | | ≥70 years old | 71 (30.87) | 9 (19.15) | | | Education level/n(%) | | | 0.778 | 0.378 | Junior high school and below | 119 (51.74) | 21 (44.68) | | | Senior high school and above | 111 (48.26) | 26 (55.32) | | | Medical insurance payment method/n(%) | | | 1.595 | 0.451 | Urban medical insurance | 185 (80.43) | 34 (72.34) | | | Rural medical insurance | 37 (16.09) | 11 (23.40) | | | Self-payment | 8 (3.48) | 2 (4.26) | | | Marital status/n(%) | | | 2.120 | 0.548 | Married | 220 (95.65) | 47 (100.00) | | | Unmarried | 6 (2.61) | 0 (0) | | | Divorced | 2 (0.87) | 0 (0) | | | Widowed | 2 (0.87) | 0 (0) | | | Place of abode/n(%) | | | 0.398 | 0.528 | Town | 190 (82.61) | 37 (78.72) | | | Village | 40 (17.39) | 10 (21.28) | | | Underlying disease/n(%) | | | 0.049 | 0.825 | No | 89 (38.70) | 19 (40.43) | | | Yes | 141 (61.30) | 28 (59.57) | | | Preoperative NRS 2002 score/n (%) | | | 0.662 | 0.416 | <3 points | 209 (90.87) | 45 (95.74) | | | ≥3 points | 21 (9.13) | 2 (4.26) | | | Preoperative BMI/n(%) | | | 0.602 | 0.740 | <18.5 kg·m-2 | 17 (7.39) | 2 (4.26) | | | 18.5‒24.0 kg·m-2 | 132 (57.39) | 28 (59.57) | | | >24.0 kg·m-2 | 81 (35.22) | 17 (36.17) | | | Preoperative Hb level/n(%) | | | 4.594 | 0.032 | Low | 81 (35.22) | 9 (19.15) | | | Normal | 149 (64.78) | 38 (80.85) | | | Preoperative albumin level/n(%) | | | 0.854 | 0.355 | Low | 130 (56.52) | 30 (63.83) | | | Normal | 100 (43.48) | 17 (36.17) | | | Preoperative platelet level/(×109 L-1) | 217.61±76.89 | 215.47±60.11 | 0.180 | 0.857 | Cardiac function/n(%) | | | 0.116 | 0.943 | Ⅰ | 13 (5.65) | 3 (6.38) | | | Ⅱ | 189 (82.17) | 39 (82.98) | | | Ⅲ | 28 (12.17) | 5 (10.64) | | | ASA/n(%) | | | 0.620 | 0.734 | Ⅰ | 3 (1.30) | 0 (0) | | | Ⅱ | 87 (37.83) | 18 (38.30) | | | Ⅲ | 140 (60.87) | 29 (61.70) | | | Anesthesia duration/h | 3.73±0.95 | 3.36±0.92 | 2.601 | 0.010 | Number of indwelling catheters/n | 3.04±0.80 | 2.75±0.87 | 2.236 | 0.026 | Stopping ECG monitor within 24 h after surgery/n(%) | | | 1.557 | 0.212 | No | 20 (8.70) | 1 (2.13) | | | Yes | 210 (91.30) | 46 (97.87) | | | Stopping venous PCA within 24 h after surgery/n(%) | | | 2.404 | 0.121 | No | 189 (82.17) | 34 (72.34) | | | Yes | 41 (17.83) | 13 (27.66) | | | Nausea and vomiting within 24 h after surgery/n(%) | | | 1.123 | 0.289 | No | 169 (73.48) | 38 (80.85) | | | Yes | 61 (26.52) | 9 (19.15) | | | VAS within 24 h after surgery/point | 0.95±1.65 | 0.75±1.53 | 0.781 | 0.436 |
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