快速康复外科新理念在肝癌围手术期患者中实施对患者应激反应和康复影响

The effect of the new concept of rapid rehabilitation surgery on stress response and rehabilitation of patients with liver cancer during perioperative implementation

目的探讨快速康复外科新理念在肝癌围手术期患者中实施对患者应激反应和康复影响。方法选取2015年2月-2017年2月在本院行手术治疗肝癌患者58例随机分为康复组(快速康复外科新理念,29例)和传统组(传统处理,29例),比较两组患者术前1 d C反应蛋白(CRP)、生长激素、皮质醇、空腹血糖(FPG)水平及胃肠功能恢复时间、留置尿管时间、留置引流管时间、住院时间。结果康复组患者CRP、生长激素、皮质醇、FPG均低于传统组(P<0.05)。康复组患者胃肠功能恢复时间、留置尿管时间、留置引流管时间、住院时间均少于传统组(P<0.05)。结论快速康复外科新理念在肝癌围手术期患者中实施可减轻患者应激反应,促进患者术后康复。

Objective To explore the effect of the newconcept of rapid rehabilitation surgery on stress response and rehabilitation of patients with liver cancer during the perioperative period. Methods From February 2015 to 2017, 58 patients with liver cancer hospitalized in our hospital for surgical treatment were randomly divided into rehabilitation group. which were 29 cases who were given rapid rehabilitation surgery, and conventional group which were also 29 cases who were given conventional treatment. Preoperative 1 D C reactive protein（CRP）, growth hormone, cortisol, fasting blood glucose（FPG）, recovery time of gastrointestinal function, time for indwelling catheter, hospitalization time were compared between two groups. Results The levels of CRP, growth hormone, cortisol and FPG in the rehabilitation group were lower than those in the traditional group（P〈0.05）. The recovery time of gastrointestinal function, the time of indwelling catheter, the time of indwelling drainage tube and the time of hospitalization in the rehabilitation group were less than those in the traditional group（P〈0.05）. Conclusion The new concept of rapid rehabilitation surgery can relieve stress reaction and promote postoperative rehabilitation in patients with liver cancer during perioperative period.