快速康复外科在腹腔镜结直肠癌手术中的应用

发布时间：2018-05-15 10:18

本文选题：快速康复外科 + 围手术期　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:评估快速康复外科在腹腔镜结直肠癌手术中应用的效果。方法:根据围手术期的处理方法,161例结直肠癌患者分别应用快速康复外科方法和传统治疗方法来处理,对比两组患者的术后第1、2、3天疼痛评分,术后第1、2、3天的生活自理能力,排便时间,总住院天数,术后住院天数,再入院率,并发症发生率,总住院费用和C反应蛋白(CRP)。结果:快速康复外科组与传统组对比,术后排便天数提前(p0.05),术后第3天生活自理能力提高(p0.05),总住院费用减少(p0.05),术后第1、2天生活自理能力、术后第1、2、3天疼痛评分、总住院天数、术后住院天数、CRP、再入院率、并发症发生率等无明显差别(p0.05)。结论:快速康复外科在腹腔镜结直肠癌手术中的应用可促进肠道功能恢复、提高术后生活自理能力、减少住院费用,没有增加术后并发症发生率及再入院率。
[Abstract]:Objective: to evaluate the effect of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery. Methods: according to the perioperative management, 161 patients with colorectal cancer were treated by rapid rehabilitation surgery and traditional treatment respectively. The pain scores of the first 2 days after operation and the ability of self-care on the 1st and 2nd day after operation were compared between the two groups. Defecation time, total hospital stay, postoperative hospital stay, readmission rate, incidence of complications, total hospitalization expenses and C-reactive protein (CRP). Results: compared with the traditional group, the postoperative defecation days in the rapid rehabilitation surgery group were improved in advance (p0.05), the self-care ability of the patients was improved on the third day after operation, the total cost of hospitalization was reduced, the ability of living self-care was reduced on the 12th day after operation, the pain score of the 1st day was 2days after operation, and the total number of days in hospital was also increased. No significant difference was found in the days of hospitalization, readmission rate, complication rate and so on. Conclusion: the application of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery can promote the recovery of intestinal function, improve the ability of self-care, reduce the cost of hospitalization, and do not increase the incidence of postoperative complications and readmission rate.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.34

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