快速康复理念在结直肠癌围术期中应用.docVIP

快速康复理念在结直肠癌围术期中应用 　　[摘要]目的 探讨快速康复理念在结直肠癌围术期中的应用。方法 将2012年6月～2015年7月在我院治疗的110例结直肠癌患者作为研究对象，随机分为两组。观察组患者采用快速康复外科新理念进行治疗；对照组患者采用传统围术期方法治疗。记录两组患者的手术时间、术中出血量以及首次排气时间、下床时间等围术期指标。比较两组患者出现的肠梗阻、切口感染、肺部感染等并发症发生率。结果 观察组患者在手术中出血量[（78.3±48.7）ml]、切口长度[（10.2.±1.3）cm]明显少于对照组[（154.3±32.6）ml、（12.3±1.5）cm]，差异均有统计学意义（t=9.6176，t=7.8461，P0.05）；观察组手术后的首次排气时间[（33.6±1.1）h]、首次排便时间[（55.6±11.2）h]、进食时间[（10.5±0.5）h]、下床时间[（1.6±0.2）d]、术后住院天数[（5.5±1.5）d]均明显短于对照组[（38.3±0.3）、（69.7±12.4）、（15.6±1.5）h，（3.8±0.8）、（10.3±2.5）d]，差异均有统计学意义（P0.01）；两组患者术后均未出现死亡病例。两组患者的肠梗阻、切口感染、肺部感染等并发症发生率比较，差异有统计学意义（χ2=4.7673，P0.05）。结论 快速康复理念在结直肠癌围术期中的应用效果显著，可以降低手术并发症的发生率，加快患者的康复速度。 　　[关键词]快速康复理念；围术期；结直肠癌 　　[中图分类号]R735.3 [文献标识码]A [文章编号]1674-4721（2016）06（b）-0050-03 　　Clinical application of fast track theory during perioperative period of colorectal cancer 　　ZHENG Shu-wu LIN Xi-han LIU Jin-yan ZHAO Shao-fang 　　Department of First General Surgery，Chaozhou Central Hospital of Guangdong Province，Chaozhou 521000，China 　　[Abstract]Objective To discuss the clinical application of fast track theory during perioperative period of colorectal cancer.Methods 110 cases of colorectal cancer patients from June 2012 to July 2015 in our hospital were chosen as the research object，and were randomly divided into two groups.Patients in the observation group were given fast track treatment，while patients in the control group were given conventional perioperative therapy.The indicators including operation time，blood loss during operation，time to first exhaust，and time to getting out of bed were recorded.And incidence rates of complications such as intestinal obstruction，incision infection，and pulmonary infection were compared between two groups.Results In the observation group，the blood loss during operation was （78.3±48.7） ml，and the length of incision was （10.2.±1.3） cm，which were significantly superior to those in the control group [（154.3±32.6） ml，and （12.3±1.5） cm] （t=9.6176，t=7.8461，P0.05）.In the observation group，the time to first exh