加速康复外科的术后措施在结直肠手术中的应用

Postoperative management in fast track colorectal surgery

目的:应用加速康复外科理念的术后处理措施,观察结直肠癌手术患者临床应用的有效性、安全性及优势。方法:60例结直肠癌手术患者分成两组,使用加速康复外科理念的术后处理措施30例作为加速康复组,使用传统的术后处理方法30例作为传统对照组。比较两组患者耐受半流饮食时间、术后肠道通气时间、术后住院时间以及术后并发症发生情况。结果:加速康复外科理念的术后处理方案与传统的术后处理方案相比,耐受半流饮食和肠道恢复通气时间明显提前(P<0.01),住院时间明显缩短(P<0.01),术后并发症的发生率无明显差异(P>0.05)。结论:结直肠癌手术行加速康复外科理念的术后处理措施是安全、有效的,加快了患者术后肠道恢复,缩短了住院时间,并不增加术后并发症的发生率。

Objective To explore the effectiveness, safety, and advantages of postoperative care in fast track eolorectal surgery. Methods 60 patients who had undergone surgery for colorectal cancer were randomly assigned to receive postoperative care with the idea of fast track surgery （study group, 30 patients） or traditional patient care （control group, 30 patients）. Time to semi-liquid diet toleranee time to postoperative flatus, length of hospital stay, and incidence of postoperative complications were compared between the two groups. Results As compared with the control group, time to seini-liquid diet tolerance and to postoperative flatus was markedly shortened in the study group （P 〈 0.01 ）, so was length of hospital stay （P 〈 0.01 ） ; whereas the incidence of postoperative complications did not differ significantly （P 〉 0.05）. Conclusions Postoperative care in fast track colorectal surgery is safe. It promotes the postoperative recovery of the bowel and shortens the length of hospital stay, but does not increase the incidence of postoperative complications.