快速康复外科手术室管理对肝癌切除术患者的应用研究

Application research of rapid rehabilitation surgery concept in operating room management for patients undergoing liver cancer resection

目的探讨肝癌切除术患者应用快速康复外科主题的手术室管理的效果。方法选择2019年11月至2022年11月收治的肝癌切除术患者90例,数字表法随机分为观察组和对照组,每组45例。对照组给予常规干预,观察组给予快速康复外科的手术室管理,比较2组的干预效果。结果观察组的术后各项指标(腹腔引流管拔除时间、术后下床活动时间、肛门排气时间)短于对照组(P<0.05)。观察组的应激反应指标(生长激素、C-反应蛋白、皮质醇水平)短于对照组(P<0.05)。观察组肝功能各项指标优于对照组(P<0.05)。观察组细胞免疫功能的相关指标水平均优于对照组(P<0.05)。观察组术后并发症发生率为6.67%低于对照组的33.33%(P<0.05)。结论肝癌切除术患者应用快速康复外科主题的手术室管理,能有效降低患者的应激反应和术后并发症,提升患者的肝功能水平和细胞免疫功能,促进患者术后康复。

Objective To explore the effectiveness of applying rapid rehabilitation surgery themed operating room management in patients undergoing liver cancer resection.Methods Ninety liver cancer resection patients admitted to our hospital from November 2019 to November 2022 were randomized 1∶1 to routine intervention(control group)or operating room management based on rapid rehabilitation surgery concept(observation group).The intervention effects of the two groups were compared.Results The postoperative indicators(extubation time,postoperative ambulation time,anal exhaust time)of the observation group were significantly shorter than those of the control group(P<0.05).The levels of stress response indicators(growth hormone,C-reactive protein,cortisol)in the observation group were significantly lower than those in the control group(P<0.05).The liver function indicators in the observation group were superior to the control group(P<0.05).The related indicators of cellular immune function in the observation group were better than those in the control group(P<0.05).The incidence of postoperative complications was significantly lower in the observation group compared to the control group(6.67%vs 33.33%,P<0.05).Conclusion The application of rapid rehabilitation surgical concept in operating room management for patients undergoing liver cancer resection can effectively reduce their stress response and postoperative complications,improve their liver function level and cellular immune function,and promote postoperative recovery.