快速康复理念在结直肠癌围术期中的应用  

Clinical application of fast track theory during perioperative period of colorectal cancer

作　　者：郑树武[1] 林锡汉[1] 刘金炎[1] 赵少芳 

机构地区：[1]广东省潮州市中心医院普外一科,广东潮州521000

出　　处：《中国当代医药》2016年第17期50-52,共3页China Modern Medicine

基　　金：广东省潮州市卫生和计划生育局科技项目(潮卫科研201408号)

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,P〈0.01）,两组患者的手术时间比较,差异无统计学意义（t=1.2239,P〉0.05）;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（P〈0.01）;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（χ~2=4.7673,P〈0.05）。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。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,P〈0.01）.There was no significant difference in operation time between two groups（t=1.2239,P〉0.05）.In the observation group,the time to first exhaust was（33.6 ±1.1） h,the time to first defecation was（55.6±11.2） h,and the time to first feeding was（10.5±0.1） h,the bed time was [（1.6±0.2） d],the hospital stay after operation was（5.5±1.5） d,which were significantly shorter than those in the control group [（38.3 ±0.3）,（69.7±12.4）,（15.6±1.5） h,（3.8±0.8）,（10.3±2.5） d]（P〈0.01）.There was no death in both groups after operation.There were significant differences in incidence rates of intestinal obstruction,incision infection,and pulmonary infection between two groups（χ2=4.7673,P〈0.05）.Conclusion The fast track theory has significant effects when applied during perioperative period of colorectal cancer,which can reduce the incidence rate of complications and accelerate the recovery of patients.

关 键 词：快速康复理念 围术期 结直肠癌 

分 类 号：R735.3[医药卫生—肿瘤]