加速康复外科对术前存在营养风险的结直肠癌患者的效果

发布时间：2019-02-12 19:51

【摘要】：目的探讨加速康复外科(ERAS)对于术前存在营养风险的结直肠癌患者的应用效果。方法选取100例术前存在营养风险的结直肠癌患者,随机选取50例(ERAS组)应用ERAS理念,另外50例(传统组)应用传统外科理念,统计并分析两组术后胃肠道功能恢复时间、住院时间及术后并发症。结果 ERAS组术后胃肠道功能恢复时间较传统组提前,住院时间缩短,术后恶心、呕吐及发热发生率低,差异有统计学意义(P0.05);术后吻合口瘘、吻合口出血、切口感染、腹腔感染发生率差异无统计学意义(P0.05)。结论 ERAS应用于术前存在营养风险的结直肠癌患者,胃肠道功能恢复快,住院时间短,术后发热、恶心呕吐发生率低,并不增加严重并发症的危险。
[Abstract]:Objective to investigate the effect of accelerated rehabilitation surgery (ERAS) on patients with colorectal cancer who had nutritional risk before operation. Methods A total of 100 patients with colorectal cancer who had nutritional risk before operation were selected, 50 patients (ERAS group) were randomly selected to apply ERAS concept, and 50 patients (traditional group) were treated with traditional surgical philosophy. The recovery time of gastrointestinal function after operation was statistically analyzed in both groups. Length of stay and postoperative complications. Results the recovery time of gastrointestinal tract function in ERAS group was earlier than that in traditional group, the hospitalization time was shorter, the incidence of postoperative nausea, vomiting and fever was lower, the difference was statistically significant (P0.05). There was no significant difference in the incidence of anastomotic fistula, anastomotic bleeding, incision infection and abdominal infection (P0.05). Conclusion ERAS is an effective method for colorectal cancer patients with nutritional risk before operation. The gastrointestinal function recovers quickly, the hospitalization time is short, the incidence of fever, nausea and vomiting is low, and the risk of serious complications is not increased.
【作者单位】：遵义医学院研究生院;贵州医科大学研究生院;贵州省人民医院普通外科;遵义市第一人民医院急诊内科;
【分类号】：R473.73

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