加速康复外科干预在腹腔镜远端胃癌根治术患者中的应用效果  

Application effect of accelerated rehabilitation surgical intervention in gastric cancer patients undergoing laparoscopic distal radical gastrectomy

作　　者：李宁[1] 屈冰[1] 刘芳[1] 李东艳 LI Ning;QU Bing;LIU Fang;LI Dongyan(Department of Gastrointestinal Surgery/Department of Hernia and Abdominal Wall Surgery,River Hospital District,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院河医院区胃肠外科/疝和腹壁外科,郑州4500000

出　　处：《癌症进展》2024年第15期1663-1666,1670,共5页Oncology Progress

摘　　要：目的 探讨加速康复外科干预在腹腔镜远端胃癌根治术患者中的应用效果。方法 依据干预方式的不同将80例胃癌患者分为常规组(n=38)和加速康复组(n=42),两组患者均接受腹腔镜远端胃癌根治术治疗,常规组患者接受常规干预,加速康复组患者接受加速康复外科干预。比较两组患者术后恢复指标、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况。结果 加速康复组患者初次肠鸣音恢复时间、初次经口进食时间、初次下床活动时间、引流管留置时间及住院时间均明显短于常规组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SDS、SAS评分均低于本组干预前,EORTC QLQ-C30各维度评分均高于本组干预前,加速康复组患者SDS、SAS评分均低于常规组,EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。加速康复组患者并发症总发生率为7.14%,明显低于常规组患者的28.95%,差异有统计学意义(P﹤0.01)。结论 加速康复外科干预可加快腹腔镜远端胃癌根治术患者康复进程,改善患者心理状态并提高生活质量,降低并发症发生率。Objective To investigate the application effect of accelerated rehabilitation surgical intervention in gastric cancer patients undergoing laparoscopic distal radical gastrectomy.Method According to different intervention meth-ods,80 gastric cancer patients were divided into conventional group(n=38)and accelerated rehabilitation group(n=42).Both groups received laparoscopic distal radical gastrectomy.Patients in the conventional group received conventional in-tervention,while patients in the accelerated rehabilitation group received accelerated rehabilitation surgical intervention.The postoperative recovery indicators,psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and incidence of complications were compared between the two groups.Result The recovery time of initial bowel sounds,initial oral feeding time,initial mobilization time,drainage tube retention time,and hospital-ization time in the accelerated rehabilitation group were significantly shorter than those in the conventional group,and the differences were statistically significant(P<0.01).After intervention,the SDS and SAS scores of both groups were lower than those before intervention,and the scores of all dimensions of EORTC QLQ-C30 were higher than those before inter-vention,the SDS and SAS scores in the accelerated rehabilitation group were lower than those in the conventional group,and the scores of all dimensions of EORTC QLQ-C30 were higher than those in the conventional group,and the differenc-es were statistically significant(P<0.05).The total incidence of complications in the accelerated rehabilitation group was 7.14%,which was significantly lower than 28.95%in the conventional group,and the difference was statistically signifi-cant(P<0.01).Conclusion Accelerated rehabilitation surgical intervention can accelerate the recovery process of gastric cancer patients undergoing laparoscopi

关 键 词：胃癌 腹腔镜远端胃癌根治术 加速康复外科干预 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]