期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

快速康复外科技术在老年结直肠癌患者围手术期应用效果的临床研究 被引量：13

Application of fast track surgery technique in senile patients with colorectal cancer
原文传递
导出
摘要 目的探讨快速康复外科护理措施在结直肠癌患者围术期的应用效果。方法将68例结直肠癌手术患者按住院号随机分为快速康复治疗组和传统治疗组,分别采用快速康复外科(FTS)技术及传统方法进行围手术期处理。结果相比传统组,采用FTS组的术后首次排气时间、首次排便时间缩短;恶心、呕吐发生率、手术并发症的发生率降低;术前、术后营养状态良好、住院时间缩短、住院总费用降低。结论采用FTS技术对老年结直肠癌患者进行围手术期处理可促进患者康复、减少费用。 Objective To evaluate the nursing technic of fast track surgery in senile patients with colorectal cancer .Methods 68 patients with colorectal cancer who underwent surgery were randomly divided into the intervention group and the control group .The nursing technic of fast track surgery were applied in the intervention group ,while the conventional nursing were taken in the control group .Rseult s Compared with the conventional nursing ,the application of fast track surgery nursing can significantly shorten the duration of passing flatus and defecation ,and decrease the complication rate .Besides,the fast track surgery nursing can provide better perioperative nutritional status ,reduce the length of hospital stay and expense .Conclusion Fast track surgery nursing technic is safe and effective for reducing hospital stay and getting better recovery following colorectal surgery .
作者 耿长辉 李鑫磊 张靖岩 李延林
机构地区 哈尔滨医科大学附属第五医院普外科
出处 《中华结直肠疾病电子杂志》 2014年第3期26-28,共3页 Chinese Journal of Colorectal Diseases(Electronic Edition)
关键词 康复 结直肠肿瘤 围手术期医护 护理 Rehabilitation Colorectal neoplasms Perioperative care Nursing care
分类号 R735.34 [医药卫生—肿瘤]
  • 相关文献

参考文献11

  • 1黎介寿.对Fast-track Surgery(快通道外科)内涵的认识[J].中华医学杂志,2007,87(8):515-517. 被引量：364
  • 2江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量：1349
  • 3Kehlet H,Wilmore DW. Multimodal sreategies to improve surgical outcome[J].AMERICAN JOURNAL OF SURGERY,2002,(06):630.
  • 4CharlesW,Van Way. Perioperative nutritional support as an adjunct to surgical therapy for cancer[J].Nutrition in Clinical Practice,2002,(04):214-217.
  • 5Zmora O,Wexner SD,Hajjar L. Trends in preparat ion forcolorectal surgery of the american of society of colon and rectal surgeons[J].American Surgeon,2003,(02):150-154.
  • 6Mattei P,Rombeau JL. Review of the pathophysiology and management of post operative ileus[J].WORLD Journal OF SURGERY,2006,(08):1382.
  • 7Schuster TG,Montie JE. Post operative ileus after abdominal surgery[J].UROLOGY,2002,(04):465.
  • 8Kehlet H. Surical stress response:Does endoscopic surgery confer advantage[J].WORLD Journal OF SURGERY,1999,(08):801.
  • 9Shea JA,Berlin JA,Bachwich DR. Indications for and outcomes of cholecystectomy:a comparison of the pre and post laparoscopiceras[J].ANNALS OF SURGERY,1998,(03):343.
  • 10Bisgaard T,Kehlet H. Early oral feeding after elective abdominal surgery what are the issues[J].NUTRITION,2002,(11):944-948.

二级参考文献29

  • 1Wilmore DW,Kehlet H.Management of patients in fast track surgery[J].BMJ,2001,322(7284):473 -476.
  • 2Kehlet H,Wilmore DW.Multi-modal strategies to improve surgical outcome.Am J Surg,2002,183 (6):630-641.
  • 3Rodgers A,Walker N,Schug S,et al.Reduction of post-operative mortality and morbidity with epidural or spinal anaesthesia:results from an overview of randomized trials[J].BMJ,2000,321(7275):1493.
  • 4Sessler DI.Mild perioperative hypothermia[J].N Engl J Med,1997,336(24):1730-1737.
  • 5Brandstrup B.Fluid therapy for the surgical patient[J].Best Pract Res Clin Anaesthesio1,2006,20 (2):265 -283.
  • 6Schmidt M,Lindenauer PK,Fitzgerald JL,et al.Forecasting the impact of a clinical practice guideline for perioperative betablockers to reduce cardiovascular morbidity and mortality[J].Arch Intern Med,2002,162(1):63 -69.
  • 7Ramirez RJ,Wolf SE,Barrow RE,et al:Growth hormone treatment in pediatric burns:a safe therapeutic approach[J].Ann Surg,1998,228 (4):439-448.
  • 8Van den Berghe G,Wouters P,Weekers F,et al.Intensive insulin therapy in critically ill patients[J].N Engl J Med,2001,345(19):1359-1367.
  • 9Van der Lely AJ,Lamberts SW,Jauch KW,et al.Use of human GH in elderly patients with accidental hip fracture[J].Eur J Endocrinol,2000,143 (5):585-592.
  • 10Takala J,Ruokonen E,Webster NR,et al.Increased mortality associated with growth hormone treatment in critically ill adults[J].N Engl J Med,1999,341 (11):785 -792.

共引文献1591

同被引文献106

  • 1Lapo Bencini,Cinzia Tommasi,Roberto Manetti,Marco Farsi.Modern approach to cholecysto-choledocholithiasis[J].World Journal of Gastrointestinal Endoscopy,2014,6(2):32-40. 被引量：28
  • 2Vasiliy Ivanovich Reshetnyak.致病的概念和胆石病的治疗[J].World Journal of Hepatology,2012,4(2):18-34. 被引量：40
  • 3陈永标,江艺,胡还章,吕立志,张绍庚,张小进.肝移植术后肺部感染51例临床分析[J].实用医学杂志,2007,23(2):203-204. 被引量：11
  • 4黎介寿.对Fast-track Surgery(快通道外科)内涵的认识[J].中华医学杂志,2007,87(8):515-517. 被引量：364
  • 5Agrafiotis AC, Corbeau M, Buggenhout A, et al. Enhanced recovery after elective colorectal resection outside a strict fast-track protocol. A single centre experience[J]. Int J Colorectal Dis,2014,29(1):99-104.
  • 6Shao Y,Zou LL,Zhou QH, et al. Fast-track surgery for gastroenteric neoplasms:a meta-analysis [J] Tumori, 2014,100 (5):e197-203.
  • 7Ehrlich A, Wagner B, Kairaluoma M, et al. Evaluation of a fast-track protocol for patients undergoing colorectal surgery[J]. Scand J Surg, 2014,103(3):182-188.
  • 8Wilmore DN,Kehlet H. Management of patients in fast track sur- gery. BMJ, 2001,322 : 473-476.
  • 9Vlug MS, Wind J, Hollmann MW, et al. Laparoscopy in combina- tion with fast track multimodal management is the best perioper- ative strategy in patients undergoing colonic surgery. A random- ized clinical trial (LAFA-study). Ann Surg, 2011,254 : 868-875.
  • 10Esteban F, Cerdan FJ, Garcia-Alonso M, et al. A multicentre comparison of a fast track or conventional postoperative protocol following laparoscopic or open elective surgery for colorectal cancer surgery. Colorectal Dis, 2014,16 : 134-140.

引证文献13

二级引证文献191

中华结直肠疾病电子杂志
2014年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部