快速康复外科对腹腔镜结肠癌根治术后胃肠功能恢复的影响研究  

Effect of Fast-track Management on Postoperative Gastrointestinal Function Recovery in Patients Undergoing Laparoscopic Colonic Resection for Cancer

作　　者：秦胜旗[1] 张忠涛[1] 王国军[1] 郑智[1] 孟宪璞[1] 李建设[1] QIN Sheng-qi ZHANG Zhong-tao WANG Guo-jun ZHENG Zhi MENG Xian-pu LI Jian-she(Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050)

机构地区：[1]首都医科大学附属北京友谊医院普通外科,北京100050

出　　处：《中国现代手术学杂志》2017年第1期14-17,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探究快速康复外科在腹腔镜结肠癌根治手术患者中的应用效果。方法将2012年3月到2016年3月期间我院普通外科和医保中心外科的232例结肠癌患者随机分成观察组与对照组,每组116例。观察组在围术期采用快速康复外科干预,对照组仍采用传统康复手段干预。比较两组的术后胃肠功能恢复指标和并发症情况,同时比较该方法对平均住院时间及一个月内再次入院率的影响。结果观察组患者术后肠鸣音恢复时间、禁食时间、肛门排气时间以及首次排便时间均明显短于对照组;观察组患者围术期肺部感染、消化道出血及切口感染的发生率均明显低于对照组;观察组的住院时间较对照组明显缩短,住院费用明显减少;随访1个月,观察组患者的再入院率明显低于对照组(P<0.05)。结论快速康复外科能促进腹腔镜结肠癌手术患者术后胃肠功能的恢复,减少并发症,缩短住院时间。Objective To explore the effect of fast-track management on postoperative gastrointestinal function recovery in patients undergoing laparoscopic colonic resection for cancer. Methods From March 2012 to March 2016, 232 patients with colorectal cancer were randomly divided into the observation group and the control group, with 116 cases for each. Fast-track management was used in the observation group, while the traditional rehabilitation intervention was used in the control group. It was compared of the postoperative gastrointestinal function recovery indicators and complications. Results The duration of anal exhaust, first defecation time, fasting time and recovery time of bowel sounds of the observation group was significantly shorter than that of the control group. The incidence of pulmonary infection, digestive hemorrhage and incision infection in the observation group was significantly lower than that in the control group. Hospitalization stay of the observation group was significantly shorter than that of the control group, and the cost of hospitalization was significantly reduced. During 1 month follow-up, the re-admission rate of the observation group was significantly lower than that of the control group. All the differences were significant （ P 〈 0. 05 ）. Conclusion Fast-track management can promote the recovery of gastrointestinal function, reduce the complication rate and shorten the hospital stay for patients undergoing laparoscopic colonic resection for cancer.

关 键 词：结肠肿瘤 快速康复外科 胃肠功能 

分 类 号：R735.35[医药卫生—肿瘤]