快速康复外科理念在高龄胃癌患者腹腔镜胃癌根治术中的应用效果

Application Effect of Rapid Rehabilitation Surgery Concept in Laparoscopic Radical Gastrectomy in Elderly Patients with Gastric Cancer

目的:探讨快速康复外科理念在高龄胃癌患者腹腔镜胃癌根治术中的应用效果。方法:选取2021年1月—2023年10月遵义医科大学附属医院普外科收治的高龄胃癌患者68例作为研究对象,采用随机数表法分为常规组和试验组,各34例。常规组应用常规腹腔镜胃癌根治术,试验组在常规组基础上引入快速康复外科理念。比较两组手术满意度、疼痛程度、焦虑程度、生活质量以及恢复效果。结果:试验组总满意度高于常规组,差异有统计学意义(P<0.001)。术后3h,试验组视觉模拟评分法(VAS)评分低于术前与同时间常规组,差异有统计学意义(P<0.05);术后12h,两组VAS评分低于术前与术后3h,且试验组低于常规组,差异有统计学意义(P<0.05)。术后,两组焦虑自评量表评分低于术前,且试验组低于常规组,两组日常生活能力量表评分高于术前,且试验组高于常规组,差异有统计学意义(P<0.05)。试验组术后疼痛持续时间、引流管留置时间、住院时间均短于常规组,差异有统计学意义(P<0.05)。结论:快速康复外科理念在高龄胃癌患者腹腔镜胃癌根治术中的应用效果显著,可提高患者手术满意度,缓解疼痛,减轻焦虑,改善生活质量及恢复效果。

Objective:To explore the application effect of rapid rehabilitation surgery concept in laparoscopic radical gastrectomy in elderly patients with gastric cancer.Methods:A total of 68 elderly patients with gastric cancer were selected as the research objects at the Department of General Surgery of the Affiliated Hospital of Zunyi Medical University from January 2021 to October 2023,and were divided into the conventional group and the experimental group by random number table method,with 34 cases in each group.The conventional group received conventional laparoscopic radical gastrectomy,and the experimental group introduced the concept of rapid rehabilitation surgery based on the conventional group.Surgical satisfaction,pain,anxiety,quality of life and recovery were compared between the two groups.Results:The total satisfaction of experimental group was higher than that of conventional group,the difference was statistically significant(P<0.001).At 3 h after operation,visual analogue scale(VAS)score of experimental group was lower than that of preoperative group and conventional group at the same time,and the difference was statistically significant(P<0.05);at 12 h after surgery,the VAS score of 2 groups was lower than that before surgery and 3 h after surgery,and the experimental group was lower than the conventional group,the difference was statistically significant(P<0.05).After surgery,the score of self-rating anxiety scale in 2 groups was lower than before surgery,and the experimental group was lower than the conventional group,and the score of daily living ability scale in 2 groups was higher than before surgery,and the experimental group was higher than the conventional group,the difference was statistically significant(P<0.05).The duration of postoperative pain,drainage tube retention time and hospital stay in experimental group were shorter than those in conventional group,and the differences were statistically significant(P<0.05).Conclusion:The application of the concept of rapid rehabilitation surgery in the elderly patients with gastric cancer is significant,which can improve the surgical satisfaction of patients,relieve pain,relieve anxiety,improve the quality of life and recovery effect.