加速康复理念下术前机械性肠道准备对胃癌术后康复相关影响的研究

The effects of preoperative Mechanical Bowel Preparation on postoperative gastric cancer patients under the concept of Enhanced Recovery After Surgery: a randomized controlled trial

目的:研究加速康复理念下术前机械性肠道准备对胃癌术后的相关影响。方法:将接受手术的胃癌患者随机分为两组,实验组不采用术前机械性肠道准备,对照组进行术前机械性肠道准备,观察两组患者在胃癌根治术后恢复情况的差异。结果:实验组患者的术后电解质紊乱发生率显著低于对照组(P<0.05),而在术后相关并发症、胃肠功能恢复、感染的实验室指标、体温、住院天数方面两组无统计学差异(P>0.05)。结论:在加速康复背景下,进行术前机械性肠道准备并不会减少胃癌根治术后的并发症发生率,也不会加快患者胃肠功能恢复,反而会增加患者术后电解质紊乱的风险。

Objective: To investigate the effects of Mechanical Bowel Preparation on postoperative gastric cancer patients under the concept of Enhanced Recovery After Surgery. Methods: Gastric cancer patients undergoing radical surgery were randomly divided into two groups. The experimental group did not receive Mechanical Bowel Preparation before surgery. The control group performed bowel intestinal preparation before surgery. Then we investigated the differences between the two groups on the recovery after operation. Results: The incidence of postoperative electrolyte disorders was significantly lower in the experimental group than in the control group, and there were no significant differences between the two groups in other complications, the recovery of gastrointestinal function, laboratory indicators of infection, and postoperative body temperature. Conclusion: Under the concept of Enhanced Recovery After Surgery, preoperative Mechanical Bowel Preparation will not reduce the incidence of complications after radical gastrectomy, nor will it accelerate the recovery of gastrointestinal function in patients, but will increase the risk of electrolyte disorders after surgery.