快速康复外科-集束干预策略模式应用于miRNA结直肠癌患者术后干预中的效果分析

Effect analysis of FTS-CIS mode applied to postoperative intervention in patients with miRNA colorectal cancer

目的探讨快速康复外科-集束干预策略(FTS-CIS)模式应用于miRNA结直肠癌患者术后干预中的效果。方法选择2016年7月至2017年7月中国医科大学盛京医院收治的行术后常规干预的miRNA结直肠癌手术患者55例作为对照组,再选择2017年8月至2018年8月收治的行术后FTS-CIS模式干预的miRNA结直肠癌手术患者55例作为观察组。对比两组术后恢复情况、生活质量变化及术后并发症发生率。结果观察组首次排便时间、首次排气时间、首次进食时间、下床活动时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05);观察组干预后躯体功能、认知功能、社会功能、角色功能、情绪功能、总体健康状况评分均高于对照组,疲倦、疼痛、恶心呕吐、经济困难评分均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论FTS-CIS模式应用于miRNA结直肠癌患者术后干预中可促进患者病情恢复,提高生活质量,降低并发症发生率,值得推广。

Objective To investigate the effect of rapid rehabilitation surgery-Cluster intervention strategy(FTS-CIS)on postoperative intervention in patients with miRNA colorectal cancer.Methods From July 2016 to July 2017,55 patients with miRNA colorectal cancer who underwent routine intervention in Shengjing Hospital of China Medical University were selected as the control group.55 patients with miRNA colorectal cancer surgery who underwent post-FTS-CIS mode intervention from August 2017 to August 2018 were included as observation group.The recovery,quality of life and postoperative complication rate were compared between the two groups.Results The first defecation time,the first exhaust time,the first eating time,the time of getting out of bed and the postoperative hospital stay in observation group were shorter than those in the control group.The difference was statistically significant(P<0.05).The scores of physical,cognitive,social,role,emotional function and overall health status of the observation group were higher than those of the control group,while the scores of fatigue,pain,nausea and vomiting and economic difficulty were lower.The difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that of the control group(P<0.05).Conclusions The FTS-CIS model is suitable for the postoperative intervention of miRNA colorectal cancer patients,which can promote the recovery of patients condition,improve the quality of life and reduce the incidence of complications.It is worthy of promotion.