摘要
目的探讨对腹腔镜胃癌根治术患者采用加速康复外科的疗效.方法选择2021年1—12月收治的80例腹腔镜胃癌根治术患者,以随机数表法分为两组.对照组(n=40)采用常规围术期干预,观察组(n=40)采用加速康复外科干预.比较两组术后康复情况,采用焦虑/抑郁自评量表(SAS/SDS)评估患者干预前后的心理应激状态,统计两组并发症发生率评估治疗的安全性.结果观察组肠鸣音恢复、首次排气、首次排便及住院时间均短于对照组,组间差异有统计学意义(P<0.05).干预后,观察组SAS、SDS评分均低于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为17.50%,低于对照组的50.00%,差异有统计学意义(P<0.05).结论加速康复外科可改善腹腔镜胃癌根治术患者心理应激状态,降低并发症发生风险.
Objective To investigate the efficacy of fast track surgery in patients after laparoscopic radical gastrectomy for gastric cancer.Methods A total of 80 patients with laparoscopic radical gastrectomy for gastric cancer who were treated from January to December 2021 were selected and divided into two groups by random number table method.The control group(n=40)received conventional perioperative intervention,and the observation group(n=40)received fast track surgery intervention.The postoperative rehabilitation conditions of the two groups were compared,and the self-rating anxiety/depression scale(SAS/SDS)was used to evaluate the psychological stress state of the patients before and after the intervention,and the incidence of complications in the two groups was calculated to evaluate the safety of the treatment.Results The recovery of bowel sounds,first exhaust,first defecation and hospital stay in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 17.50%,which was lower than 50.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Fast track surgery can improve the psychological stress state of patients undergoing laparoscopic radical gastrectomy for gastric cancer and reduce the risk of complications.
作者
赵桂娇
ZHAO Guijiao(Operating Room,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处
《反射疗法与康复医学》
2022年第10期126-128,共3页
Reflexology And Rehabilitation Medicine
关键词
腹腔镜
胃癌根治术
加速康复外科
心理应激
并发症
Laparoscopy
Radical gastrectomy
Fast track surgery
Psychological stress
Complications
作者简介
赵桂娇(1987-),女,山东平原人,本科,主管护师,研究方向:手术室有关护理。
