快速康复外科在腹腔镜结肠癌根治术患者围手术期应用.docVIP

快速康复外科在腹腔镜结肠癌根治术患者围手术期应用 　　[摘要] 目的 剖析腹腔镜结肠癌根治术围手术期用快速康复外科的效果。方法 该研究方便选取研究对象为2015年2月―2016年6月间该院收入的68例腹腔镜结肠癌根治术者。以奇偶数字分组原理为依据，将68例病例随机分成A、B两组，每组34例。A组于围手术期中用快速康复外科方案，B组按照传统的护理模式进行施护。观察两组病情变化，比较住院费用、首次肛门排气时间等指标。 结果 A组术后并发症发生率为11.76%，B组为38.24%。A组明显低于B组。两组对比差异有统计学意义（P0.05）。A组首次肛门排气时间与住院时间明显比B组短。两组对比差异有统计学意义（P0.05）。针对住院费用，A组为（1.98±0.42）万元，B组为（2.27±0.46）万元，A组明显少于B组，两组对比差异有统计学意义（P0.05）。结论 腹腔镜结肠癌根治术用快速康复外科，并发症发生风险少，患者经济负担轻。 　　[关键词] 围手术期；快速康复外科；应用效果；腹腔镜结肠癌根治术 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0078-03 　　[Abstract] Objective To analyze the effect of fast track surgery in patients with laparoscope colorectal cancer radical resection during the perioperative period. Methods 68 cases of patients with laparoscope colorectal cancer radical resection during the perioperative period admitted and treated in our hospital from February 2015 to June 2016 were convenient selected as the research objects and randomly divided into two groups with 34 cases in each， the group A adopted the fast track surgery plan， while the group B adopted the traditional nursing model， and the disease changes of the two groups was observed and the hospitalization cost and first anal exhaust time were compared between the two groups. Results The incidence rate of complications after operation in the group A was obviously lower than that in the group B（11.76% vs 38.24%）， and the difference had statistical significance（P0.05）， the first anal exhaust time and length of stay in the group A were obviously shorter than those in the group B， and the differences had statistical significance（P0.05）， and the hospitalization cost in the group A was obviously fewer than that in the group B[（19.8±4.2） thousand yuan vs （22.7±4.6） thousand yuan]， and the difference had statistical significance（P0.05）. Conclusion The application of fast track surgery for laparoscope colorectal cancer radical resection brings fewer risks and slight cost burden. 　　[Key words] Perioperative period； Fast track surgery； Ap