加速康复外科在精准肝切除术患者肠道功能及并发症的影响

Effect of accelerated rehabilitation surgery on intestinal function and complications in patients with accurate hepatectomy

目的探究加速康复外科对精准肝切除术患者肠道功能及并发症的影响。方法2018年1月~2019年2月期间,对我院234例行肝切除术患者进行了临床对照实验研究,采用随机数字表将其分为对照组和试验组,比较两组患者术后腹腔黏连程度的统计学差异,比较两组患者干预前后外周血NK细胞(CD56bright、CD56dim、NKT)含量的统计学差异,比较两组患者干预前后肠道功能(Hb、ALB、PA)和肝功能(ALT、AST、TBil)的统计学差异。结果两组患者术后腹腔黏连程度差异显著(P<0.05),试验组明显低于对照组,两组患者干预前后CD56bright、CD56dim、NKT细胞百分率差异显著(P<0.05),精准组明显低于对照组,同组内CD56bright,的百分含量呈上升趋势,CD56dim及NKT呈下降趋势;两组患者干预后Hb、ALB、PA含量的差异显著(P>0.05),Hb、ALB、PA含量均呈上升趋势;两组患者干预后ALT、AST、TBil含量的差异显著(P>0.05)。结论相比于对照组,试验组采用的加速康复外科的干预措施的效果较好,患者症状改善时间也相对较短。并发症的发生率相对较低。

Objective To investigate the effect of accelerated rehabilitation surgery on intestinal function and complications in patients with accurate hepatectomy.Methods 234 patients undergoing hepatectomy in our hospital from January 2018 to February 2019 were studied.The patients in the two groups were divided into control group and experimental group by random numerical table.The statistical difference of postoperative abdominal adhesion between the two groups was compared,and the statistical difference of NK cell(CD56bright,CD56dim,NKT)content in peripheral blood between the two groups before and after intervention was compared.Comparison of intestinal function(Hb,ALB,PA)and liver between the two groups before and after intervention The statistical difference of function(ALT,AST,TBil).Results there was significant difference in the degree of abdominal adhesion between the two groups,and the percentage of CD56bright,CD56dim,NKT cells in the experimental group was significantly lower than that in the control group before and after intervention,and that in the precision group was significantly lower than that in the control group.The percentage of CD56bright,in the same group showed an upward trend,while CD56dim and NKT showed a downward trend.There was significant difference in Hb,ALB,PA content between the two groups after intervention(P>0.05).Hb,ALB The content of ALT,AST,TBil in the two groups was significantly higher than that in the control group(P>0.05),and the content of ALT,AST,TBil in the two groups was significantly higher than that in the control group(P>0.05).Conclusion Compared with the control group,the intervention measures of accelerated rehabilitation surgery in the experimental group are more effective,and the improvement time of the patients'symptoms is relatively short.The incidence of complications is relatively low.