直肠癌前切除术采用加速康复外科治疗与传统围术期处理方法的安全性及有效性探讨  

Exploration on safety and efficacy of accelerated rehabilitation surgical treatment and traditional perioperative treatment method in rectal anterior resection

作　　者：赵强[1] 姜世平[1] 

机构地区：[1]雅安市人民医院普外科,四川雅安625000

出　　处：《现代医药卫生》2012年第22期3389-3389,3391,共2页Journal of Modern Medicine & Health

摘　　要：目的比较直肠癌前切除术采用加速康复外科治疗与传统围术期处理方法的临床有效性与安全性。方法回顾性分析在四川省雅安市人民医院行直肠癌前切除术患者48例的病例资料,根据在手术中对患者的不同处理方法分为两组:采用加速康复外科治疗的治疗组26例,采用传统围术期处理方法的对照组22例,术后对患者进行随访调查,统计患者的术后出院时间、首次肠排气时间、静脉输液时间和治疗费用,以评价两种手术处理方法的安全性和有效性,并进行统计学分析。结果治疗组术后平均出院时间(5.2±1.1)d,平均首次肠排气时间(3.1±0.8)d,平均静脉输液时间(4.8±1.4)d,平均治疗费用(2.2±0.3)万元,与对照组比较,差异均有统计学意义(P<0.05)。结论直肠癌前切除术采用加速康复外科治疗法具有较高的临床有效性与安全性。Objective To compare the clinical effectiveness and safety between accelerated rehabilitation surgical treatment and traditional perioperative treatment methods in rectal cancer anterior resection.Methods The clinical data in 48 cases of rectal cancer anterior resection in this hospital were performed the retrospective analysis.According to the different intraoperative processing methods,the cases were divided into two groups,the accelerated rehabilitation surgical treatment group（26 cases）and the traditional perioperative treatment group as control（22 cases）,and followed up after operation.The postoperative discharge time,first rectal exhaust time,intravenous infusion time and treatment costs were compared for evaluating the safety and effects between the two methods and conducted the statistical analysis.Results The average discharge time in the treatment group was（5.2±1.1）d,average first rectal exhaust time was（3.1±0.8）d,average intravenous infusion time was（4.8±1.4）d and average treatment costs were（22 000±3 000）Yuan,showing statistical difference compared with the control group（P0.05）.Conclusion Adopting the accelerated rehabilitation surgical therapy in rectal cancer anterior resection has higher clinical effectiveness and safety.

关 键 词：直肠肿瘤 外科学 手术期间 加速康复外科治疗 传统围术期治疗 对比研究 

分 类 号：R735.37[医药卫生—肿瘤]