微创腹腔镜联合快速康复技术对直肠癌患者术后恢复进程和应激反应的影响

Effect of minimally invasive laparoscopic surgery and fast-track surgery on postoperative recovery and stress response in patients with rectal cancer

目的:研究微创腹腔镜联合快速康复技术对直肠癌患者术后恢复进程、应激反应的影响。方法:选取我院2013年3月至2016年3月84例直肠癌患者为研究对象,将纳入患者抽签随机分为快速康复组和常规护理组,每组42例。所有患者均接受微创腹腔镜手术,常规护理组术后给予常规护理,快速康复组术后在常规护理基础上给予快速康复技术。比较两组的术后恢复情况与应激指标。结果:快速康复组的首次排气时间、住院时间、C反应蛋白(CRP)、外周血血糖(BG)分别为(3.04±1.36)d、(8.15±2.38)d、(23.25±5.34)mg/L、(4.59±1.34)mmol/L显著短于或低于常规护理组的(4.35±1.73)d、(12.59±3.76)d、(31.18±7.83)mg/L、(5.86±1.73)mmol/L(P<0.05)。结论:微创腹腔镜联合快速康复技术可以减少直肠癌患者术后应激反应,加快康复进程。

Objective：To investigate the effect of minimally invasive laparoscopic surgery and fast-track surgery on postoperative recovery and stress response in patients with rectal cancer. Methods ： Eighty-four patients with rectal cancer,who were hospitalized in our hospital between March 2013 and March 2016,were included as the subjects in the study, and were randomly divided into the fast-track surgery group and routine nursing group （n= 42 each）. All patients were treated with minimally invasive laparoscopic surgery. After the surgery, the routine nursing group received routine nursing, and the fast-track surgery group received fast-track surgery based on the routine nursing. The postoperative recovery and stress indexes were compared between the two groups. Results ： The initial exhaust time,length of hospital stay, levels of C reactive protein （CRP） and blood glucose （BG） in peripheral blood in the fast-track surgery group [ （ 3.04± 1.36） d, （ 8.15 ±2.38 ） d, （23.25±5.34） mg/L, （4.59± 1.34） mmol/L] were significantly shorter or lower than those in the routine nursing group [ （4.35 ±1.73） d,（12.59±3.76） d, （31.18±7.83） rag/L, （5.86± 1.73） mmol/L],respectively （P〈0.05）. Conclusion：Minimally invasive laparoscopic surgery and fast-track surgery can reduce the postoperative stress response and accelerate the recovery process of patients with rectal cancer.