加速康復外科在腹腔鏡結直腸癌手術效果分析

The Effects of Analysis of Enhanced Recovery After Surgery(ERAS)Used in Laparoscopic Colorectectomy

目的探討加速康復外科模式在腹腔鏡結直腸癌手術中的應用效果。方法將本院接診的60例結直腸癌患者隨機分為觀察組和對照組(30例/組)。在這兩組患者接受腹腔鏡結直腸癌手術期間,應用加速康復外科模式對觀察組患者進行圍手術期治療和護理,對照組患者應用常規模式圍手術期治療和護理。比較兩組術後肛門排氣的時間、下床活動的時間、住院的時間、術後併發症的發生率、術前後白細胞計數、白蛋白、C反應蛋白的水平。結果兩組比較,觀察組患者手術併發症的發生率更低(P<0.05),觀察組患者術後肛門排氣的時間、下床活動的時間和住院的時間均更短,術後3d白蛋白的水平更高、而C反應蛋白和白細胞水平更低(P<0.05)。結論加速康復外科模式在腹腔鏡結直腸癌手術中的應用效果顯著,能夠減少炎症反應,促進患者術後胃腸功能的恢復。

Objective To investigate the effect of applying enhanced recovery after surgery(ERAS)in laparoscopic colorectal cancer.Methods 60 cases of colorectal cancer in KiangWu hospital were randomly divided into two groups(30 cases/group).In the two groups of patients undergoing laparoscopic colorectal cancer surgery,the enhanced recovery after surgery(ERAS)approach was used for peri-operative treatment and nursing for patients in the experimental group,and the conventional mode of cane was used for patients in the control group.The post-operation anal exhaust,the time of getting out of bed,the duration of hospital stay,the incidence of postoperative complications,the white blood cell count and albumin level of the two groups were compared.Results Compared with the control group,the experimental group had a lower incidence of postoperative complications,with statistically significant difference(P<0.05).Compared with the control group,the experimental group had shorter time of anal exhaust,time of getting out of bed and time of hospitalization,higher albumin level and lower white blood cell count on the 3rd day post-operatively,and the difference was statistically significant(P<0.05).Conclusion The application of accelerated rehabilitation surgery approach in laparoscopic.colorectal cancer surgery has significant effects and can promote more rapid recovery of gastrointestinal function.