早期经口进食在结直肠癌术后快速流程模式中的应用  

Application of Early Oral Feeding after Colorectal Cancer Surgery in Fast-Track

作　　者：周寅[1,2] 杨廷翰[1,2] 汪晓东[2,3] 李立[2,3] 

机构地区：[1]四川大学华西临床医学院/华西医院,成都610041 [2]四川大学华西医院MCQ团队,成都610041 [3]四川大学华西医院胃肠外科中心,成都610041

出　　处：《中国普外基础与临床杂志》2010年第5期500-503,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省卫生厅科学研究项目(项目编号:090353)~~

摘　　要：目的探讨结直肠癌术后早期经口进食的可行性、安全性及术后早期康复情况。方法回顾性分析2008年1～6月期间,四川大学华西医院胃肠外科中心结直肠外科专业组收治的128例结直肠癌患者的临床资料,56例为早期经口进食(early oral feeding,EOF)组,72例为传统进食(traditional feeding,TF)组。比较2组病例术后住院时间,术后首次排气和排便时间,以及胃潴留、肠梗阻、重度腹泻、肺部感染、伤口感染、吻合口漏等并发症发生率。结果 EOF组术后住院时间,术后首次排气、排便时间均短于TF组,差异有统计学意义(P<0.05);EOF组胃潴留发生率高于TF组,差异有统计学意义(P<0.05),而2组肠梗阻、重度腹泻、肺部感染、伤口感染及吻合口漏的发生率差异均无统计学意义(P>0.05)。早期经口进食耐受率可达89.29%(50/56)。结论结直肠癌术后行早期经口进食是安全、可行的,能促进患者的早期康复。Objective To discuss the feasibility and safety of early oral feeding after colorectal cancer resection and early postoperative recovery condition.Methods Between January 2008 and June 2008,128 patients diagnosed definitely as colorectal cancer were analyzed retrospectively.Fifty-six cases were treated with early oral feeding（EOF group）,and 72 cases were treated with traditional feeding（TF group）.The length of postoperative hospital stay,time of first flatus and defecation,and incidences of gastric retention,ileus,severe diarrhea,anastomotic leakage,wound infection,and pulmonary infection were studied and compared.Results The postoperative hospital stay,time of first flatus and defecation in EOF group were apparently shorter than those in TF group（P0.05）.As to the incidence of postoperative complications,EOF group had a higher incidence of gastric retention（P0.05）,while the differences of incidences of ileus,severe diarrhea,anastomotic leakage,wound infection,and pulmonary infection were not statistically significant between the two groups（P0.05）.Early oral feeding can be tolerated by as much as 89.29%（50/56） patients.Conclusion Early oral feeding after colorectal cancer resection is safe and feasible,and can promote early rehabilitation of patients.

关 键 词：早期进食 结直肠癌 快速流程 

分 类 号：R735.37[医药卫生—肿瘤]