功能锻炼在解剖性肝癌切除术后康复治疗中的临床意义  

Application of exercise on treatment of patients with anatomical liver cancer after liver cancer resection

作　　者：张娜[1] 刘冬梅[1] ZHANG Na LIU Dongmei(Department Breast, Liver and Gallbladder Surgery, Shengjing Hospital, China Medical University, Shenyang 110000, China)

机构地区：[1]中国医科大学附属盛京医院肝胆脾乳腺外科,辽宁沈阳110000

出　　处：《西部医学》2017年第2期230-232,共3页Medical Journal of West China

基　　金：辽宁省科学技术计划项目(2011225019)

摘　　要：目的探讨肝癌切除术后尽早进行合理锻炼对于康复治疗的临床意义。方法选取2013年11月~2015年10月我院因肝癌需行切除术治疗患者64例,按住院时间和术后康复措施不同分为观察组和对照组,每组32例,观察组在康复治疗中尽早进行合理锻炼,对照组予以常规康复治疗,每组32例,比较两组治疗后肝功能恢复和术后指标情况。结果观察组术后5天ALT、TBIL和PA均低于对照组,ALB高于对照组,排气、排便和下床活动时间早于对照组,住院天数和住院费用少于对照组,术后第1~6d平均每日进食量均高于对照组,差异具有统计学意义(均P<0.05)。治疗后,观察组Sukarno(88.1±8.5)、PS(0.5±0.2)评分均明显优于对照组,差异具有统计学意义(P<0.05)。结论肝癌切除术后尽早进行合理锻炼在康复治疗中应用的临床效果较好,肝功能恢复快,推荐临床广泛应用。Objective To investigate the clinical significance of early postoperative exercise for treatment of patients with anatomical liver cancer. Methods 64 patients with anatomical liver cancer after liver cancer resection were divided into observation group and control group. The observation group was treated with conventional rehabilitation therapy and reasonable exercise. The recovery of liver function and operation indicators were observed. Results ALT, TBIL and PA 5 days after operation of observation group were lower than that of control group （P〈0.05）. ALB 5 days after operation of observation group was higher than that of control group （P〈0.05）. The exhaust and defecation and bed activity of observation group were shorter than that of control group （P〈0.05）. The daily food intake of observation group was more than that of control group （P%0.05）. Sukarno and PS score of observation group was better than that of control group （P〈0.05）. Conclusion Reasonable exercise for patients with anatomical liver cancer after liver cancer resection can improve clinical effect and rehabilitation of liver function.

关 键 词：功能锻炼 解剖性肝癌切除术后 康复治疗 

分 类 号：R735.7[医药卫生—肿瘤]