腹腔结肠癌根治术后快速康复的临床观察
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摘要
目的探索腹腔结肠癌根治术后快速康复的临床效果。方法从该院2015年8月—2018年8月收治的结肠癌患者中方便选取60例,随机分为参照组(30例患者行传统开腹手术)与研讨组(30例患者行腹腔结肠癌根治术)两组。比较其临床效果。结果研讨组患者的下床活动时间为(2.2±2.4)h、住院天数为(5.47±0.29)d、胃肠道功能恢复时间为(2.15±0.34)d;参照组患者的下床活动时间为(5.9±3.1)h、住院天数为(11.63±0.36)d、胃肠道功能恢复时间为(4.12±0.42)d;3个指标相比较,研讨组明显更为优良,差异有统计学意义(P<0.05)。结论通过采用腹腔结肠癌根治术治疗结肠癌患者,大大降低了并发症的发生率,临床效果佳。
Objective To explore the clinical effect of rapid rehabilitation after radical operation for celiac and colon cancer. Methods A total of 60 patients with colon cancer admitted to our hospital from August 2015 to August 2018 were convenient randomly divided into two groups: control group(30 patients underwent traditional laparotomy) and study group(30 patients underwent radical operation for abdominal and colon cancer). The clinical effects were compared. Results The ambulatory time of the study group was(2.2±2.4) h, hospitalization days were(5.47±0.29) d, gastrointestinal function recovery time was(2.15±0.34) d. And in the control group, the ambulatory time of the reference group was(5.9±3.1) h, hospitalization days were(11.63±0.36) d, and gastrointestinal function recovery time was(4.12±0.42) d. Comparing the three indicators,the study group was significantly better, and the difference was statistically significant(P<0.05). Conclusion The incidence of complications is greatly reduced by using radical operation of abdominal colon cancer for patients with colon cancer. And the clinical effect is good.
Objective To explore the clinical effect of rapid rehabilitation after radical operation for celiac and colon cancer. Methods A total of 60 patients with colon cancer admitted to our hospital from August 2015 to August 2018 were convenient randomly divided into two groups: control group(30 patients underwent traditional laparotomy) and study group(30 patients underwent radical operation for abdominal and colon cancer). The clinical effects were compared. Results The ambulatory time of the study group was(2.2±2.4) h, hospitalization days were(5.47±0.29) d, gastrointestinal function recovery time was(2.15±0.34) d. And in the control group, the ambulatory time of the reference group was(5.9±3.1) h, hospitalization days were(11.63±0.36) d, and gastrointestinal function recovery time was(4.12±0.42) d. Comparing the three indicators,the study group was significantly better, and the difference was statistically significant(P<0.05). Conclusion The incidence of complications is greatly reduced by using radical operation of abdominal colon cancer for patients with colon cancer. And the clinical effect is good.
引文
[1]杨世斌,韩方海,肖隆斌,等.腹腔镜辅助右半结肠癌根治术与开放手术的临床应用比较[J].实用医学杂志, 2016,32(11):1819-1822.
[2]徐东楚,郭云虎,包磊,等.腹腔镜下右半结肠癌根治术不同手术入路的疗效比较[J].中国现代普通外科进展, 2016,19(3):226-228.
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[9]伍海锐,王今,金岚,等.腹腔镜联合肛门内镜手术与传统腹腔镜辅助左半结肠癌根治术疗效对比[J].中华普通外科杂志, 2016, 31(5):421-422.
[10] Zang L.Laparoscopic radical gastrectomy for gastric cancer:traps and strategies[J]. Ann Transl Med.2015,3(9):125.
[11] Jingquan Guo,Jingfeng Chen,Xiyuan Zhu. Clinical comparison of hand-assisted laparoscopic surgery and traditional laparotomy in radical resection of colorectal cancer[J]. Biomedical Research,2017,28(7):3249-3254.
[12]徐珂嘉,苏喆,钱刚,等.基于快速康复外科理论的多模式镇痛在腹腔镜结直肠癌根治术中的应用[J].山东医药,2016,56(10):38-39.
[13]吴丽杰.腹腔镜结合外科快速康复在结、直肠癌根治术围手术期的应用[J].辽宁医学杂志,2015,29(1):53-54.
[14]辛志强,任双义.快速康复外科在腹腔镜胃癌根治术中的应用[J].中华普通外科杂志,2017,32(1):34-36.
[15] Melnyk M1,Casey RG,Black P,et al. Enhanced recovery after surgery(ERAS)protocols:Time to change practice?[J]. Can Urol Assoc J,2011,5(5):342-348.
[16]李玉萍.快速康复护理模式对腹腔镜下结肠癌手术患者胃肠功能恢复的影响[J].中国临床实用医学,2017,8(1):89-91.
[17]欧阳钦,宋海良,王三英,等.腹腔镜结肠癌根治术后快速康复外科的应用效果观察[J].中国医学创新,2018,15(17):118-122.
[2]徐东楚,郭云虎,包磊,等.腹腔镜下右半结肠癌根治术不同手术入路的疗效比较[J].中国现代普通外科进展, 2016,19(3):226-228.
[3]国家卫生计生委医政医管局,中华医学会肿瘤学分会.中国结直肠癌诊疗规范(2017年版)[J].中华胃肠外科杂志.2018.21(1):92-106.
[4]汪昱,游红勇,刘东涛,等.腹腔镜微创远端胃癌D2根治术治疗老年胃癌的效果及其对免疫功能、低氧诱导因子-1α和结肠癌转移相关基因1表达的影响[J].中国医药导报, 2016, 13(8):21-24.
[5]史建中,钱山青,孙卫东,等.中间入路法腹腔镜右半结肠癌根治术55例临床体会[J].腹腔镜外科杂志, 2016, 21(10):742-745.
[6]史永涛.腹腔镜下行结肠癌根治术对结肠癌病人的治疗价值评析[J].中外医疗, 2016, 35(3):32-34.
[7]钱路创,沙洪存.快速康复外科在腹腔镜胃癌根治术的研究进展[J].中国微创外科杂志,2017,17(5):471-474.
[8]蔡永华,张兴伟,侯煜杰,等.尾内侧入路单向环路式腹腔镜辅助右半结肠癌根治术的临床疗效[J].中华消化外科杂志,2016, 15(9):928-932.
[9]伍海锐,王今,金岚,等.腹腔镜联合肛门内镜手术与传统腹腔镜辅助左半结肠癌根治术疗效对比[J].中华普通外科杂志, 2016, 31(5):421-422.
[10] Zang L.Laparoscopic radical gastrectomy for gastric cancer:traps and strategies[J]. Ann Transl Med.2015,3(9):125.
[11] Jingquan Guo,Jingfeng Chen,Xiyuan Zhu. Clinical comparison of hand-assisted laparoscopic surgery and traditional laparotomy in radical resection of colorectal cancer[J]. Biomedical Research,2017,28(7):3249-3254.
[12]徐珂嘉,苏喆,钱刚,等.基于快速康复外科理论的多模式镇痛在腹腔镜结直肠癌根治术中的应用[J].山东医药,2016,56(10):38-39.
[13]吴丽杰.腹腔镜结合外科快速康复在结、直肠癌根治术围手术期的应用[J].辽宁医学杂志,2015,29(1):53-54.
[14]辛志强,任双义.快速康复外科在腹腔镜胃癌根治术中的应用[J].中华普通外科杂志,2017,32(1):34-36.
[15] Melnyk M1,Casey RG,Black P,et al. Enhanced recovery after surgery(ERAS)protocols:Time to change practice?[J]. Can Urol Assoc J,2011,5(5):342-348.
[16]李玉萍.快速康复护理模式对腹腔镜下结肠癌手术患者胃肠功能恢复的影响[J].中国临床实用医学,2017,8(1):89-91.
[17]欧阳钦,宋海良,王三英,等.腹腔镜结肠癌根治术后快速康复外科的应用效果观察[J].中国医学创新,2018,15(17):118-122.