加速康复外科干预对腹腔镜辅助胃癌根治术患者术后恢复及应激反应的影响

Effect of accelerated rehabilitation surgical intervention on postoperative recovery and stress of patients undergoing laparoscopic radical gastrectomy

目的探讨加速康复外科在腹腔镜辅助胃癌根治术中的应用价值。方法选取2017年5月至2019年10月本院收治的60例行腹腔镜辅助胃癌根治术患者为研究对象,随机分为对照组和观察组,各30例。两组均给予腔镜辅助胃癌根治术治疗,对照组在此基础上实施传统外科干预,观察组在此基础上采用加速康复外科干预。比较两组术后恢复、应激反应及生活质量情况。结果观察组术后首次排气时间、胃肠道恢复时间均短于对照组(P<0.05),体质量下降少于对照组(P<0.05)。术后观察组空腹血糖、心率、收缩压值均低于对照组(P<0.05),观察组生活质量评分高于对照组(P<0.05)。结论加速康复外科干预可有效缓解患者应激反应,维持体质量,加强胃肠道恢复,提高生活质量。

Objective To explore the value of accelerated rehabilitation surgery in laparoscopic assisted radical surgery for gastric cancer.Methods Sixty patients who underwent radical laparoscopic assisted gastrectomy in our hospital from May 2017 to October 2019 were selected as the research subjects,and they were randomly divided into control group and observation group,with 30 cases in each group.Both groups were given laparoscopic assisted radical gastrectomy,the control group was given traditional surgical intervention,and the observation group was given accelerated rehabilitation surgical intervention.Postoperative recovery,stress response and quality of life were compared between the two groups.Results The time of first exhaustion and recovery time of gastrointestinal tract in the observation group were significantly shorter than those in the control group(P<0.05),and the weight loss was significantly lower than that in the control group(P<0.05).The fasting blood glucose,heart rate and systolic blood pressure in the observation group after operation were significantly lower than those in the control group(P<0.05).The quality of life score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Accelerated rehabilitation surgical intervention can effectively relieve the patient's stress response,maintain the body weight,strengthen the recovery of the gastrointestinal tract,and thus improve the quality of life.