结直肠外科快速康复模式加速直肠癌术后康复的临床研究

Surgical the Rapid Rehabilitation Model Accelerated Colorectal Cancer Postoperative Rehabilitation Clinical Research

目的对结直肠外科快速康复模式对加速直肠癌手术患者术后康复的作用进行评价。方法将2009年2月至2011年3月来自我院的80例直肠癌择期手术病例随机的分为两组,FT组和对照组。FT组的40例患者在围手术期管理接受快速康复模式,进行的项目有简化肠道准备、手术前夜可以进行普通的饮食。手术后不待肛门排气就对胃管进行拔出恢复饮食,手术后强制进行早期活动,不进行常规的引流管放置和尿管早期拔出。对照组的40例患者进行传统模式,对两组患者的手术后的住院时间、30d内的手术并发症和再入院率进行了统计学分析。结果两组患者的性别、合并症、术式、肿瘤TNM分期等量变的构成比、手术时间、年龄、失血量等计量的资料比较其差异没统计学意义(P>0.05)。快速康复组的患者住院的平均时间为(4.5±2.3)d,对照组的平均住院时间为(9.0±2.5)d,两组患者对比FT组明显的缩短(P<0.01)。FT组的患者一个月内并发症的发生率也明显的比对照组的患者低(P<0.05)。对两组患者的再入院率进行了对比,其差异没有统计学意义(P>0.05)。结论结直肠外科快速康复模式可以应用于择期直肠癌围手术期的临床管理,能够加速患者的康复。

Objective To evaluate the role of accelerated rehabilitation after cancer surgery patients quicker recovery mode colorectal surgery. Methods February 2009 to March 2011 from our hospital 80 cases of patients with rectal cancer undergoing elective surgery were randomly divided into two groups, FT group and the control group. FT group of 40 patients in the perioperative management for rapid rehabilitation mode/, the project conducted a simplified bowel preparation the night before surgery can ordinary diet. Not wait for anal exhaust after surgery on the stomach tube to pull out the recovery diet, mandatory early after surgery, not a glutton drainage tube placement and catheter early pull out. 40 patients in the control group, the traditional mode, the length of stay in the two groups of patients after surgery, within 30 days of surgery complications and readmission rates were statistically analyzed. Results The.quantitative composition than the gender of the two groups of patients, complications, surgical, cancer TNM staging, surgery time, age, blood loss measured data to compare the difference was not statistically significant （1~〉0.05）. The average time of rapid rehabilitation group patients hospitalized for （4.5 ~2.3）d, the control group, the average length of stay was （9.0-J：2.5）d, the two groups were compared FT group was significantly shorter （P〈0.01）. FT group of patients within one month of the incidence of complications is significantly lower than patients in the control group （P〈0.05）. Readmission rates of the two groups of patients were compared, the difference was not statistically significant （P〉0.05）. Conclusion Colorectal surgery rapid rehabilitation mode can be applied to elective rectal perioperative clinical management, to accelerate the rehabilitation of patients.