EARS计划在结直肠癌外科患者中的应用效果分析  

Analysis of the Application Effect of EARS Plan in Patients With Colorectal Cancer Surgery

作　　者：陈华[1] 刘洋[1] 蒋才建[1] CHEN Hua;LIU Yang;JIANG Caijian(Department of General Surgery,Changde First People's Hospital,Changde Hu’nan 415003,China)

机构地区：[1]常德市第一人民医院普通外科,湖南常德415003

出　　处：《中国卫生标准管理》2023年第2期92-95,共4页China Health Standard Management

基　　金：常德市科学技术局技术研究与开发资金项目(常科函[2020]75号17)。

摘　　要：目的对结直肠癌外科患者治疗过程中,快速康复(enhanced recovery after surgery,ERAS)计划的应用价值进行分析。方法选择2020年7月1日—2022年3月1日常德市第一人民医院普通外科结直肠癌患者150例,按随机数字表法分为研究组与对照组,每组各75例,分别对患者进行传统开腹手术+EARS计划与传统开腹手术治疗,分析两组并发症、炎症因子水平、首次下床活动时间、进食时间、术后住院天数、排气时间、排便时间、满意度。结果研究组术后住院天数、排便、首次下床活动、进食、排气时间等指标均短于对照组,差异有统计学意义(P<0.05)。治疗有效率比较,研究组高于对照组,差异有统计学意义(P<0.05)。对照组并发症发生率高于研究组,差异有统计学意义(P<0.05)。研究组炎症因子水平均低于对照组,差异有统计学意义(P<0.05)。结论EARS计划推广价值较高,可以抑制炎症因子水平,提升治疗效果,预后效果显著。Objective To analyze the application value of Enhanced Recovery after Surgery(ERAS)in the care of patients with colorectal cancer surgery.Methods A total of 150 patients with colorectal cancer surgery in the general surgery department of Changde First People’s Hospital from July 1,2020 to March 1,2022 were selected and divided into study group and control group according to the random number table method,with 75 patients in each group.The patients received traditional open surgery+EARS program and traditional open surgery,respectively.Complications,levels of inflammatory factors,time to get out of bed for the first time,time to eat,postoperative hospital stay,exhaust time,defecation time and satisfaction were analyzed in the two groups.Results The duration of hospital stay,defecation,first getting out of bed activity,eating time,exhaust time and other time indexes in the study group were shorter than those in the control group,the difference was statistically significant(P<0.05),indicating that the analysis was significant.The effective rate of treatment in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).The complication of control group was higher than that of study group,and the comparison was significant,the difference was statistically significant(P<0.05).The levels of inflammatory factors in the study group were lower than those in the control group,the difference was statistically significant(P<0.05),indicating that the analysis was significant.Conclusion THE promotion value of EARS program is high,which can inhibit the level of inflammatory factors,improve the therapeutic effect and have significant prognostic effect.

关 键 词：结直肠癌 EARS计划 应用价值 住院时间 炎症因子 有效率 并发症 

分 类 号：R735[医药卫生—肿瘤]