期刊文献+

直肠癌前切除术采用加速康复外科治疗与传统围术期处理方法的安全性及有效性探讨

Exploration on safety and efficacy of accelerated rehabilitation surgical treatment and traditional perioperative treatment method in rectal anterior resection
下载PDF
导出
摘要 目的比较直肠癌前切除术采用加速康复外科治疗与传统围术期处理方法的临床有效性与安全性。方法回顾性分析在四川省雅安市人民医院行直肠癌前切除术患者48例的病例资料,根据在手术中对患者的不同处理方法分为两组:采用加速康复外科治疗的治疗组26例,采用传统围术期处理方法的对照组22例,术后对患者进行随访调查,统计患者的术后出院时间、首次肠排气时间、静脉输液时间和治疗费用,以评价两种手术处理方法的安全性和有效性,并进行统计学分析。结果治疗组术后平均出院时间(5.2±1.1)d,平均首次肠排气时间(3.1±0.8)d,平均静脉输液时间(4.8±1.4)d,平均治疗费用(2.2±0.3)万元,与对照组比较,差异均有统计学意义(P<0.05)。结论直肠癌前切除术采用加速康复外科治疗法具有较高的临床有效性与安全性。 Objective To compare the clinical effectiveness and safety between accelerated rehabilitation surgical treatment and traditional perioperative treatment methods in rectal cancer anterior resection.Methods The clinical data in 48 cases of rectal cancer anterior resection in this hospital were performed the retrospective analysis.According to the different intraoperative processing methods,the cases were divided into two groups,the accelerated rehabilitation surgical treatment group(26 cases)and the traditional perioperative treatment group as control(22 cases),and followed up after operation.The postoperative discharge time,first rectal exhaust time,intravenous infusion time and treatment costs were compared for evaluating the safety and effects between the two methods and conducted the statistical analysis.Results The average discharge time in the treatment group was(5.2±1.1)d,average first rectal exhaust time was(3.1±0.8)d,average intravenous infusion time was(4.8±1.4)d and average treatment costs were(22 000±3 000)Yuan,showing statistical difference compared with the control group(P0.05).Conclusion Adopting the accelerated rehabilitation surgical therapy in rectal cancer anterior resection has higher clinical effectiveness and safety.
作者 赵强 姜世平
出处 《现代医药卫生》 2012年第22期3389-3389,3391,共2页 Journal of Modern Medicine & Health
关键词 直肠肿瘤 外科学 手术期间 加速康复外科治疗 传统围术期治疗 对比研究 Rectal neoplasms/surgery Intraoperative period Accelerate rehabilitation surgical treatment Traditional perioperative treatment Comparative study
  • 相关文献

参考文献9

二级参考文献38

  • 1邱明链,陈思曾.免疫营养素在肠黏膜屏障功能障碍中的作用[J].福建医科大学学报,2005,39(B08):57-59. 被引量:4
  • 2江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1353
  • 3Toraman F,Senay S,Gullu U,et al.Reacmission to the intensive care unit after fast-track cardiac surgery:an analysis of risk factors and outcome according to the type of operation.Heart Surg Forum,2010,13(4):212-217. 被引量:1
  • 4Sostaric M,Gersak B,Novak-Jankovic V.Early extubation and fast-track anesthetic technique for endoscopic cardiac surgery.Heart Surg Forum,2010,13(3):190-194. 被引量:1
  • 5Barletta JF,Miedema SL,Wiseman D,et al.Impact of dexmedetomidine on analgesic requirements in patients after cardiac surgery in a fast-track recovery room setting.Pharmacotherapy,2009,29(12):1427-1432. 被引量:1
  • 6Najafi M.Fast-track method in cardiac surgery:evaluation of risks and benefits of continuous administration technique.Singapore Med J,2008,49(6):470-475. 被引量:1
  • 7Kehlet H,Wilmore DW.Multimodal strategies to improve surgical outcome[J].Am J Surg,2002,183(6):630-661. 被引量:1
  • 8Schmidt M,Lindensuer PK,Fitzgerald JL,et al.Forecasting the impact of a clinical practice guide line for perioperative beta-blockers to reduce cardiovascular mobidity and mortality[J].Arch Intern Med,2002,162(1):63-69. 被引量:1
  • 9Jin F,Chung F.Multimodal analgesia for postoperative pain control[J].J Clin Anesth,2001,13(7):524-539. 被引量:1
  • 10Aguilar-Nascimento JE,Goelzer J.Early feeding after intestinal anastomoses:Risk or benefit?[J].Rev Assoc Med Bras,2002,48(4):348-352. 被引量:1

共引文献1370

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部