快速康复外科理念在治疗结直肠癌围术期的应用研究

Study on application of fast track surgery in the treatment of perioperative period of colorectal cancer

目的观察快速康复外科(FTS)理念在治疗结直肠癌围术期的临床疗效。方法 126例结直肠癌患者,随机分为对照组和观察组,每组63例。对照组采用传统围手术期护理,观察组采用快速康复外科理念护理,比较两组术中出血量、手术时间、切口长度、首次排气时间、首次排便时间、进食时间、下床时间、住院时间、术后不良反应及并发症发生情况。结果观察组术中出血量(77.3±48.6)ml少于对照组的(155.2±31.6)ml,切口长度(10.1±1.2)cm短于对照组的(12.5±1.6)cm,差异有统计学意义(P<0.05);观察组首次排气时间、首次排便时间、进食时间、下床时间均短于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为9.52%,明显低于对照组的23.81%,差异有统计学意义(P<0.05)。结论快速康复外科理念在治疗结直肠癌围术期的应用效果明显,有效改善术中、术后临床指标,降低不良反应及术后并发症发生,加快患者的康复速度。

Objective To observe the clinical efficacy of fast track surgery(FTS) theory in the treatment of perioperative period of colorectal cancer. Methods A total of 126 colorectal cancer patients were randomly divided into control group and observation group, with 63 cases in each group. The control group received traditional perioperative nursing, and the observation group received fast track surgery theory for nursing. Comparison were made on intraoperative bleeding volume, operation time, incision length, first exhaust time, first defecation time, eating time, off-bed time, hospitalization time, occurrence of postoperative adverse reactions and complications between the two groups. Results The observation group had less intraoperative bleeding volume as(77.3± 48.6) ml than(155.2±31.6) ml in the control group, and shorter incision length as(10.1±1.2) cm than(12.5± 1.6) cm in the control group. Their difference was statistically significant(P<0.05). The observation group had shorter first exhaust time, first defecation time, eating time, off-bed time, hospitalization time than the control group, and the difference was statistically significant(P<0.05). The observation group had lower incidence of adverse reactions than the control group, and the difference was statistically significant(P<0.05). The observation group had obviously lower incidence of postoperative complications as 9.52% than 23.81% in the control group, and the difference was statistically significant(P<0.05). Conclusion Fast track surgery shows obvious effect in treating perioperative period of colorectal cancer, and it can effectively improve intraoperative and postoperative clinical indicators, reduce adverse reactions and postoperative complications, and speed up the recovery of patients.