加速康复外科在胃癌围手术期应用效果的研究

Clinical study of enhanced recovery after surgery in the perioperative period of gastric cancer

目的:研究加速康复外科(enhanced recovery after surgery,ERAS)在胃癌围手术期的应用效果。方法:回顾性分析2018年12月至2020年12月在浙江大学医学院附属第一医院胃肠外科接受腹腔镜胃癌D2根治术的50例患者的临床资料,根据有无术后ERAS干预将患者分为试验组和对照组,每组25例。试验组在围手术期接受ERAS干预,对照组接受常规治疗。比较两组患者的术后首次排气时间、术后首次进食时间、尿管拔除时间、胃管拔除时间、术后住院天数、住院费用、术后并发症发生率。结果:试验组患者的术后首次排气时间、术后首次进食时间、术后住院天数和住院费用与对照组差异均有统计学意义(均P<0.05)。试验组的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:胃癌围手术期的ERAS干预有利于患者的术后恢复。

Objective:To explore the effect of enhanced recovery after surgery in the perioperative period of gastric cancer.Methods:The clinical data of 50 patients undergoing radical laparoscopic gastric cancer from December 2018 to December 2020 were retrospectively studied.The patients were divided into experimental and control groups according to the presence or absence of intervention of enhanced recovery after surgery,with 25 cases in each group.The experimental group was given rehabilitation interventions during the perioperative period,and the control group was given conventional treatment.Results:Patients in the experimental group had less time for first postoperative venting,postoperative feeding time,postoperative hospitalization days,and hospitalization costs than the control group(all P<0.05).The incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Enhanced recovery after surgery intervention in the perioperative period of gastric cancer is beneficial to patients'postoperative recovery.