快速康复外科在直肠癌根治术中的应用

Application of the fast track surgery in rectal cancer surgery

目的 探讨快速康复外科在直肠癌根治术中的应用效果。方法 选取90例直肠癌手术患者随机分为两组,45例患者采用常规的围手术期治疗措施作为对照组,45例患者将快速康复外科技术应用于患者围手术期治疗中作为观察组,观察两组患者术后恢复情况与并发症发生情况等。结果 观察组首次排便时间为（2.2±0.5）d,首次排气时间为（1.5±0.4）d,住院时间为（6.2±1.8）d,住院费用为（1.25±0.21）万元,对照组分别为（3.8±0.6）d,（3.5±0.8）d,（9.2±2.5）d,（1.98±0.32）万元,两组差异均有统计学意义（均P〈0.05）。观察组发生并发症1例（2.22%）,显著低于对照组的7例（15.56%）（P〈0.05）。结论 在直肠癌根治术中应用快速康复外科技术可促进患者术后康复,降低并发症的发生,缩短住院时间,降低医疗费用。

Objective To investigate the application effect of the fast-track surgery in rectal cancer surgery.Methods 90 patients wnderwent rectal cancer surgery were randomly divided into two groups,45 cases treated with conventional perioperative treatment were selected as the control group,45 cases with rapid rehabilitation of surgical techniques used in the perioperative treatment were seoected as the observation group.Results The first defecation time of the observation group （2.2±0.5）d,for the first time the exhaust time was （1.5±0.4）d,length of stay （6.2±1.8） days,the cost of hospitalization （1.25±0.21） million.The control group were （3.8±0.6）d,（3.5±0.8）d,（9.2±2.5）d,（1.98±0.32） million,the difference were statistically significant （all P〈0.05）.1 patient （2.22%） had complications in the observation group,7 cases（15.56%） complications occurred in the control group,which was significantly higher than the observction group,the difference was statistically significant（P〈0.05）.Conclusion The rapid rehabilitation of surgical technique in rectal cancer can promote the rehabilitation of patients,reduce the incidence of complications,shorter hospital stay,lower medical costs.