腔镜大肠癌手术对围手术期胰岛素抵抗的影响

The effect of endoscopic large bowel cancer surgery on insulin resistance in the perioperative period

目的探讨腔镜大肠癌手术对围手术期胰岛素抵抗的影响。方法选取我院在2015年6月~2017年6月收治的大肠癌手术患者共60例,按照随机数字表法分为腔镜组和对比组,对比组使用传统开腹手术,治疗组实施腔镜手术,对比分析两组患者临床指标及胰岛素抵抗指数。结果在临床指标对比中,治疗组在肛门排气时间、住院时间、并发症发生率等均明显低于对比组,差异具有统计学意义(P<0.05)。除两组患者在术前胰岛素抵抗指数差别不大,无统计学意义(P>0.05),术中、术后治疗组患者的胰岛素抵抗指数均优于对比组,组间对比差异具有统计学意义(P<0.05)。结论腔镜大肠癌手术对大肠癌患者的治疗效果较好,能够有效降低胰岛素抵抗程度,促使患者更快恢复身体健康,符合快速康复理念。

Objective To investigate the effect of laparoscopic colorectal surgery on perioperative insulin resistance. Methods 60 patients with colorectal cancer surgery in our hospital from June 2015 to June 2017 were selected and divided into endoscopy group and the contrast group according to the random number table method. The contrast group were treated with traditional laparotomy, the treatment group were treated with endoscopic surgery, and the clinical indicators and insulin resistance index of the two groups were compared. Results In the comparison of clinical indicators, the anal exhaust time, hospitalization time and incidence of complications in the treatment group were significantly lower than those in the contrast group, with statistical significance （P 〈0.05）. Except for the preoperative insulin resistance index, there was no significant difference in the index of insulin resistance in the two groups （P 〉0.05）. The insulin resistance index of the patients in the operation and after the operation was better than that in the contrast group, and the difference between the groups was statistically significant （P 〈0.05）. Conclusion Endoscopic colorectal cancer surgery is effective in treatment of colorectal cancer. It can effectively reduce the degree of insulin resistance and prompt patients to recover healthily, which is in line with the concept of rapid rehabilitation.