摘要
为探讨快速康复外科理念在直肠癌患者围手术期的应用效果，将拟行手术治疗的50例直肠癌患者随机分为观察组和对照组，各25例，对照组给予普外科围手术期常规处理，观察组给予围手术期快速康复外科处理，对比分析两组患者术后恢复情况及术后3个月时的生活质量评分。结果显示，观察组的术后输液量、首次进食时间、首次排气及排便时间、首次下床活动时间、住院时间明显少于对照组，并发症的发生率明显低于对照组，P〈0．05或P〈0．01。观察组患者术后3个月躯体功能、心理功能、社会功能及物质生活状态评分明显高于对照组，P〈0．05。结果表明，快速康复外科理念应用于直肠癌围手术期处理，可减少手术应激反应和并发症，显著缩短住院时间，促进患者术后恢复。
In order to investigate the appliable efficacy of fast track surgery （FTS） concept at perioperation of rectal carcinoma patients author divided randomly 50 patients with rectal carcinoma to be subject to sur- gery into observation group and control group,25 cases each group;control group received routine manage- ment,observation group was given with FTS management, then the postoperative recovery status and the score rating of quality of life at three months after operation in both groups were compared and analyzed. As results, in observation group after operation infusion volume, feeding time, the first time for flatus and defecation,and the time for ambulation,as well as hospital stay were significantly less than that in control group,and incidence of complications also lower（ P 〈0.05 or P〈0.01） ;besides,three months after opera- tion the score ratings of body function,mental function and social function,as well as material life situation of patients were all higher than in control group（ P 〈0.05）. Results show that FTS concept applied to the perioperative management of rectal carcinoma patients can reduce stress from operation and complication, significantly shorten hospital stay, promote postoperative recovery of patients.
出处
《中国肛肠病杂志》
2013年第4期27-29,共3页
Chinese Journal of Coloproctology
关键词
快速康复外科
直肠癌
术后恢复
生活质量
Fast track surgery
Rectal carcinoma
Postoperative recovery
Life quality
