快速康复外科理念在治疗结直肠癌围术期的应用研究

发布时间：2018-05-25 00:27

本文选题：结直肠肿瘤 + 快速康复外科理念　；参考：《重庆医学》2017年15期

【摘要】：目的探讨快速康复理念在结直肠癌围术期中应用的价值。方法将该院2012年6月到2015年7月收治的110例直肠癌患者纳入研究,分为观察组(55例)与对照组(55例)。观察组采用快速康复的方法进行治疗,对照组采用传统围术期方式进行治疗。观察记录两组患者的术中出血量、手术时间、患者首次排气时间、术后下床活动时间等指标。观察两组患者出现手术切口感染、肠梗阻、肺部感染等并发症发生情况。结果观察组患者手术中出血量、切口长度与对照组相比差异有统计学意义(t=9.618、7.846,P0.01)。观察组首次出现排气时间、首次排便时间、进食时间、术后下床时间、术后住院时间明显低于对照组,比较差异有统计学意义(P0.01)。术后并发症情况,观察组的切口感染、肠梗阻、肺部感染等并发症的发生率小于对照组,比较差异有统计学意义(χ~2=4.767,P0.05)。结论快速康复理念在结直肠癌围术期中的应用可降低手术并发症的发生率。
[Abstract]:Objective to explore the value of rapid rehabilitation in perioperative period of colorectal cancer. Methods 110 patients with rectal cancer from June 2012 to July 2015 were divided into observation group (n = 55) and control group (n = 55). The observation group was treated by rapid rehabilitation, while the control group was treated by traditional perioperative method. The blood loss, operation time, the first time of exhaust and the time of getting out of bed after operation were observed and recorded in the two groups. The complications of incision infection, intestinal obstruction and pulmonary infection were observed. Results the blood loss and incision length in the observation group were significantly different from those in the control group (P 0.01). The first time of exhaust, the time of first defecation, the time of eating, the time of getting out of bed and the time of hospitalization after operation in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P 0.01). The incidence of incision infection, intestinal obstruction and pulmonary infection in the observation group was lower than that in the control group, and the difference was statistically significant (蠂 ~ (2 / 2) 4.767) (P < 0.05). Conclusion the application of rapid rehabilitation in the perioperative period of colorectal cancer can reduce the incidence of surgical complications.
【作者单位】：四川省成都市第七人民医院普外科;
【分类号】：R473.73

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