快速康复外科理念对腹腔镜结直肠癌根治术老年患者术后胃肠功能恢复的影响分析  

Analysis of the effect of fast track surgery concept on gastrointestinal function recovery in elderly patients after laparoscopic radical resection for colorectal cancer

作　　者：李峰华 张进杰 赵李业 LI Feng-hua;ZHANG Jin-jie;ZHAO Li-ye(Department of General Surgery,People's Hospital of Suixi County,Zhanjiang 524300,China)

机构地区：[1]湛江市遂溪县人民医院普通外科,524300

出　　处：《中国实用医药》2023年第20期166-169,共4页China Practical Medicine

摘　　要：目的探讨快速康复外科理念对腹腔镜结直肠癌根治术老年患者术后胃肠功能恢复的影响。方法50例腹腔镜结直肠癌根治术老年患者,按照随机数字表法分为常规组和康复组,各25例。常规组患者应用常规护理,康复组患者应用快速康复外科理念。比较两组患者的手术相关情况、胃肠道功能恢复情况、胃肠激素水平及并发症发生情况。结果康复组患者住院时间(7.13±2.62)d、首次下床时间(23.96±3.22)h均明显短于常规组的(9.92±2.54)d、(41.28±2.91)h,住院费用(3.67±1.02)万元明显少于常规组的(5.45±1.21)万元,差异有统计学意义(P<0.05)。康复组患者首次排气时间(59.25±6.91)h、首次排便时间(68.27±11.84)h、首次进食时间(60.34±10.28)h均明显短于常规组的(84.23±8.12)、(92.25±10.13)、(85.32±10.65)h,差异有统计学意义(P<0.05)。术后,康复组患者胃泌素水平(96.23±16.32)pg/ml、胃动素水平(253.51±17.28)pg/ml均高于常规组的(76.44±16.51)、(211.14±17.43)pg/ml,差异有统计学意义(P<0.05)。康复组患者并发症发生率为8.00%,显著低于常规组的32.00%,差异有统计学意义(P<0.05)。结论腹腔镜结直肠癌根治术老年患者术后应用快速康复外科理念,有效缩短了患者胃肠道功能恢复时间及住院时间,降低了住院费用,且并发症发生更少,值得借鉴。Objective To discuss the effect of fast track surgery concept on gastrointestinal function recovery in elderly patients after laparoscopic radical resection for colorectal cancer.Methods A total of 50 elderly patients with laparoscopic radical resection for colorectal cancer were divided into conventional group and rehabilitation group according to random numerical table,with 25 cases in each group.The conventional group received conventional nursing,and the rehabilitation group received fast track surgery concept.The surgical conditions,gastrointestinal function recovery,gastrointestinal hormone level and complications were compared between the two groups.Results The hospitalization time of(7.13±2.62)d and time of first ambulation of(23.96±3.22)h in the rehabilitation group were significantly shorter than those of(9.92±2.54)d and(41.28±2.91)h in the conventional group;the hospitalization cost of(3.67±102)ten thousand yuan in the rehabilitation group was less than that of(5.45±121)ten thousand yuan in the conventional group;the differences were statistically significant(P<0.05).In the rehabilitation group,the first exhaust time was(59.25±6.91)h,the first defecation time was(68.27±11.84)h and the first eating time was(60.34±10.28)h,which were significantly shorter than those of(84.23±8.12),(92.25±10.13)and(85.32±10.65)h in the conventional group,and the differences were statistically significant(P<0.05).After surgery,the gastrin level of(96.23±16.32)pg/ml and motilin level of(253.51±17.28)pg/ml in the rehabilitation group were higher than those of(76.44±16.51)and(211.14±17.43)pg/ml in the conventional group,and the differences were statistically significant(P<0.05).The incidence of complications in the rehabilitation group was 8.00%,which was significantly lower than that of 32.00%in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The application of fast track surgery concept after laparoscopic radical resection for colorectal cancer in elderly patients ca

关 键 词：快速康复外科理念 腹腔镜 结直肠癌根治术 胃肠功能 

分 类 号：R735.34[医药卫生—肿瘤]