快速康复外科理念在50例结直肠肿瘤围术期中的应用研究

Application of Concept of Fast Track Sugery in 50 Cases of Colorectal Cancer in the Perioperative Period

目的探讨快速康复外科理念在结直肠肿瘤围术期中的应用,评价其临床应用效果,为今后临床治疗提供参考和借签。方法随机选取我院2012年1月~2013年9月收治的结直肠肿瘤患者50例,采用随机数字法将其分为对照组和观察组,对照组在结直肠肿瘤围术期中给予传统方法处理,观察组则在结直肠肿瘤围术期中给予快速康复外科理念处理,对比分析两组患者胃肠功能恢复的时间,首次经口进食时间,并发症情况等指标。结果观察组的术后胃肠功能恢复时间,首次经口进食时间短于对照组（P〈0.05）,差异有统计学意义,并发症情况差异无统计学意义（P〉0.05）;胃肠道症状：两组术后恶心,呕吐,肠鸣音情况比较差异无统计学意义（P〉0.05）;观察组的腹胀总天数,腹痛总天数少于对照组（P〈0.05）,差异有统计学意义。结论快速康复外科理念应用于结直肠肿瘤围术期中能有效地缩短患者的胃肠功能恢复时间,首次经口进食时间,减少术后腹胀总天数,腹痛总天数,疗效显著且安全性高。

Objective To explore the concept of fast track surgery perioperative application of colorectal cancer and evaluate its clinical application effect, providing for future clinical treatment. Methods This study randomly selected from our hospital from January2010 to September 2013, admitted during the period of 50 patients with colorectal cancer, using the random number methods it can be divided into control group and observation group, control group in colorectal cancer periopative period to give the traditional treatment, while the observation group in colorectal cancer perioperative period to give fast track concept of surgical treatment, compared two groups of patients with postoperative recovery time of gastrointestinal function. Results The first time through the mouth eating time were significantly shorter than the control group（P0.05）, the difference was statistically significant, complications situation is no significant（P0.05）, there was no statistically significant difference. Gastrointestinal symptom： two groups of postoperative nausea and vomiting, abnormal bowel sounds situation is there was no significantly less than the control group（P0.05）,there was no statistically significant difference, the observation group number of abdominal pain significantly less than the control group（P0.05）,the difference was statistically significant. Conclusion Fast track surgery concept for surgical colorectal cancer perioperative period can effectively shorten the patients recovery time of gastrointestinal function, through the mouth for the first time the meal time,reduce the postoperative abdominal distention number the total number of days, abdominal pain, curative effect is distinct and high safety is worth wide application in clinical practice and promotion.