摘要
目的研究快速康复外科在腹腔镜结直肠癌手术中的应用效果.方法选取2021年6-12月潍坊市人民医院肛肠外科收治的60例结直肠癌患者为研究对象,随机分为快速康复组和传统治疗组,每组30例.传统治疗组采用常规干预,快速康复组采用快速康复干预,对比两组的住院情况、并发症发生情况、应激反应及免疫指标.结果干预后,快速康复组的首次下床活动时间、肛门排气时间、恢复饮食时间及术后住院时间均短于传统治疗组,组间差异有统计学意义(P<0.05).快速康复组的并发症发生率为16.67%,低于传统治疗组的43.33%,差异有统计学意义(P<0.05).干预后,快速康复组的各项应激反应指标水平均低于传统治疗组,组间差异有统计学意义(P<0.05).干预后,两组的各项免疫指标水平比较,组间差异无统计学意义(P>0.05).结论在腹腔镜结直肠癌手术中采用快速康复外科干预能够缩短患者的住院时间,改善术后情况,降低并发症发生率,减轻应激反应,值得研究和借鉴.
Objective To study the application effect of fast track surgery in laparoscopic colorectal cancer surgery.Methods A total of 60 colorectal cancer patients admitted to the Anorectal Surgery Department of Weifang People’s Hospital from June to December 2021 were selected as the research objects,and were randomly divided into a rapid rehabilitation group and a traditional treatment group,with 30 patients in each group.The traditional treatment group was treated with conventional intervention,and the rapid rehabilitation group was treated with fast track surgery intervention.The hospitalization,complications,stress response and immune indexes of the two groups were compared.Results After intervention,the time of first ambulation,time of anal exhaust,time to resume diet and postoperative hospital stay in the rapid rehabilitation group were shorter than those in the traditional treatment group,the differences between the groups were statistically significant(P<0.05).The complication rate of the rapid rehabilitation group was 16.67%,lower than 43.33%of the traditional treatment group,and the difference was statistically significant(P<0.05).After intervention,the levels of various stress response indexes in the rapid rehabilitation group were lower than those in the traditional treatment group,the differences between the groups were statistically significant(P<0.05).After intervention,there were no significant differences in the levels of various immune indexes between the two groups(P>0.05).Conclusion Fast track surgery intervention in laparoscopic colorectal cancer surgery can shorten the length of hospital stay,improve postoperative conditions,reduce the incidence of complications and stress response,which is worthy of study and reference.
作者
李守超
孙菲菲
刘铁
李梅
崔景利
LI Shouchao;SUN Feifei;LIU Tie;LI Mei;CUI Jingli(Department of Anorectal Surgery,Weifang People’s Hospital,Weifang Shandong,261041,China)
出处
《反射疗法与康复医学》
2022年第8期150-153,共4页
Reflexology And Rehabilitation Medicine
基金
潍坊市软科学研究计划(2021RKX017)。
关键词
快速康复外科
腹腔镜
结直肠癌
Fast track surgery
Laparoscopy
Colorectal cancer
作者简介
李守超(1974-),男,山东潍坊人,硕士研究生,副主任医师,研究方向:肛肠外科临床;通信作者:孙菲菲(1986-),女,山东昌邑人,本科,主管护师,研究方向:结肠癌护理,邮箱:sunfeifei5@163.com。
