快速康复在肺癌围术期的临床应用

Clinical Application of Rapid Rehabilitation in Perioperative Period of Lung Cancer

目的分析和探讨快速康复在肺癌围术期的临床应用。方法选取2017年1月—2018年1月在陆军军医大学第三附属医院进行肺癌手术的患者80例,按照随机原则分为A组和B组,每组40例。其中A组肺癌手术患者给予快速康复治疗,B组肺癌手术患者给予常规术后治疗,比较分析不同治疗方法下两组肺癌手术患者的临床康复效果。结果 A组患者术后康复情况(包括术后疼痛时间,闭式引流管放置时间,抗生素应用时间、住院时间)优于B组(P<0.05)。A组患者生活质量改善情况显著优于B组(P<0.05)。A组患者术后并发症发生率明显低于B组(P<0.05)。结论快速康复在肺癌围术期的临床应用能显著改善患者康复效果,减少不良反应和并发症。

Objective To analyze and discuss the clinical application of rapid rehabilitation in the perioperative period of lung cancer.Methods 80 patients who underwent lung cancer surgery in Third Affiliated Hospital of Army Military Medical University from January 2017 to January 2018 were selected and divided into group A and group B according to the random principle,40 cases in each group.Among them,rapid rehabilitation was given to patients undergoing lung cancer surgery in group A,and conventional postoperative treatment was given to patients undergoing lung cancer surgery in group B.The clinical rehabilitation effect of patients undergoing lung cancer surgery in two groups under different treatment methods was compared and analyzed.Results The postoperative rehabilitation status of patients in group A(including postoperative pain time,time of closed drainage tube placement,time of antibiotic application and hospital stay)was better than that in group B(P<0.05).The quality of life improvement in group A was significantly better than that in group B(P<0.05).The incidence of postoperative complications in group A was significantly lower than that in group B(P<0.05).Conclusion The clinical application of rapid rehabilitation in the perioperative period of lung cancer can significantly improve the rehabilitation effect of patients and reduce adverse reactions and complications.