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加速康复外科治疗护理措施对肝癌患者术后肝功能的影响 被引量:2

Effect of enhanced recovery after surgery on postoperative liver function in patients with liver cancer
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摘要 目的探讨加速康复外科治疗护理措施对肝癌患者术后肝功能的影响。方法 2015年5月~2018年5月间73例肝癌患者在本院行手术治疗,其中36例患者接受加速康复外科治疗护理措施(加速康复组),其余 37例患者接受常规治疗护理措施(对照组)。比较两组患者术后肝功能结果。结果加速康复组术后第4天和第7天直接胆红素、间接胆红素水平较对照组明显降低(P<0.05),而胆碱酯酶水平较对照组明显升高(P<0.05)。加速康复组术后第4天和第7天谷丙转氨酶、谷草转氨酶及谷氨酰转肽酶水平较对照组明显降低(P<0.05)。结论加速康复外科治疗护理措施能显著促进肝癌患者术后肝功能恢复。 Objective To discuss the effect of enhanced recovery after surgery on postoperative liver function in patients with liver cancer. Methods From May 2015 and May 2018, 73 patients with liver cancer were given surgery in our hospital. 36 patients were given enhanced recovery after surgery(enhanced recovery group), and the remaining 37 patients were given routine care measures(control group). The liver function results of the two groups were compared. Results The levels of direct bilirubin and indirect bilirubin in the enhanced recovery group were significantly lower than those in the control group on the 4th and 7th day after surgery(P<0.05), while the cholinesterase level was significantly higher than that in the control group(P<0.05). The levels of alanine aminotransferase, aspartate aminotransferase and glutamyl transpeptidase were significantly lower in the enhanced recovery group than those in the control group on the 4th and 7th day after surgery(P<0.05). Conclusion Enhanced recovery after surgery measures can significantly promote liver function recovery in patients with liver cancer.
作者 沈春蕾 唐成武 SHEN Chunlei;TANG Chengwu(Department of Radiology, First Hospital Affiliated to Huzhou Normal College, Huzhou 313000, China;Department of Surgery, First Hospital Affiliated to Huzhou Normal College, Huzhou 313000, China)
出处 《中国现代医生》 2019年第22期143-146,共4页 China Modern Doctor
基金 浙江省科技计划项目(2018C37088)
关键词 肝癌 加速康复外科 肝切除 肝功能 围手术期 Liver cancer Enhanced recovery after surgery Liver resection Liver function Perioperative period
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