快速康复理念在腹腔镜结肠癌切除术围术期中的应用效果  

Application of Fast-Track Surgery in Perioperative Period in Laparoscopic Colorectal Cancer Resection

作　　者：江秋生[1] 胡昇庠[1] 

机构地区：[1]南京市浦口区中心医院普外科,南京211800

出　　处：《南昌大学学报（医学版）》2015年第4期57-59,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨快速康复理念(fast-track surgery,FTS)对腹腔镜结肠癌切除术后疼痛、炎症反应和胃肠功能的影响。方法将46例结肠癌患者按随机数字法分为观察组和对照组,每组23例。2组均行腹腔镜下结肠癌切除术,观察组围术期采用FTS治疗,对照组采用传统治疗。比较2组术后首次排气时间、肠鸣音恢复时间及术后下地时间,术前及术后VAS评分,术后1d白细胞、红细胞、白蛋白及球蛋白水平。结果观察组术后首次排气时间、肠鸣音恢复时间及术后下地时间均较对照组显著缩短(P<0.05);术后VAS评分较对照组显著减少(P<0.05);术后红细胞、球蛋白和白蛋白水平均显著高于对照组,而白细胞水平显著低于对照组(P<0.05)。结论腹腔镜结肠癌切除术后施行快速康复治疗措施,有利于降低患者疼痛,提高免疫能力,降低炎症反应程度,同时促进胃肠蠕动,缩短内环境恢复时间。Objective To investigate the effects of fast-track surgery（FTS）on pain,inflammatory response and gastrointestinal function after laparoscopic colorectal cancer resection.Methods Forty-six patients with colon cancer underwent laparoscopic colorectal cancer resection.In the perioperative period,these patients were randomly assigned to receive either FTS treatment（observation group,n=23）or traditional treatment（control group,n=23）.Postoperative anal exhaust time,bowel sound recovery time and ambulation time were compared between the two groups.Furthermore,VAS score was recorded before and after operation.Moreover,white blood cell count,red blood cell count,and levels of albumin and globulin were measured 1day after operation.Results Compared with control group,anal exhaust time,bowel sound recovery time and ambulation time were shortened,VAS score and white blood cell count were decreased,and levels of albumin and globulin and red blood cell count were increased in observation group after operation（P〈0.05）.Conclusion FTS treatment following laparoscopic colorectal cancer resection can relieve pain,improve immune function,reduce inflammatory response,promote gastrointestinal peristalsis,and shorten internal environment recovery time in patients with colorectal cancer.

关 键 词：快速康复理念 腹腔镜 结肠癌 疼痛 炎症 胃肠功能 

分 类 号：R616.5[医药卫生—外科学]