摘要
目的分析加速康复外科在老年结直肠癌中的应用效果,观察其对患者术后恢复的影响。方法老年结直肠癌患者50例,随机分为对照组25例,接受常规围术期处理;观察组25例,接受加速康复外科干预。比较两组的术后恢复情况及并发症发生率。结果观察组镇痛药物使用率32.0%(8/25),显著低于对照组的84.0%(21/25);观察组术后首次排气时间、首次进食时间、引流管拔除时间及住院天数较对照组显著缩短,差异有统计学意义(P<0.05)。观察组并发症发生率8.0%,显著低于对照组的64.0%,差异有统计学意义(P<0.05)。结论腹腔镜老年结直肠癌患者采用加速康复外科可有效降低患者的并发症发生风险,促进其术后康复,值得借鉴。
Objective To analyze the clinical effect of accelerated rehabilitation surgery on elderly patients with colorectal cancer in laparoscopic surgery, and to observe the effect on postoperative recovery. Methods Fifty elderly patients with colorectal cancer were selected, they were randomly divided into two groups, the patients in the control group were accepted conventional perioperative nursing , while the patients in the observation group were accepted with accelerated rehabilitation surgery nursing. The postoperative analgesic drugs, the first exhaust time, the first feeding time, the drainage time and the length of hospital stay were recorded in the 2 groups. The short-term and long-term complications of the patients were recorded after follow-up. Results The analgesic drug use rate in observation group was 32.0% （8/25）, significantly lower than that of the control group 84.0% （21/25）; the first exhaust time, first feeding time, extubation time and hospital stay of the patients in the observation group were significantly shorter than the control group, the difference was statistically significant （P 〈0.05）. The complication rate of the observation group was 8.0%, which was significantly lower than that of the control group （64.0%）, the difference was statistically significant （P 〈0.05）. Conclusion Accelerated rehabilitation surgery in elderly patients with colorectal cancer can effectively reduce the risk of complications and promote postoperative rehabilitation.
出处
《中国医药科学》
2017年第24期207-209,222,共4页
China Medicine And Pharmacy
关键词
腹腔镜
老年
结直肠癌
加速康复外科
术后恢复
Laparoscopy
Elderly
Colorectal cancer
Accelerated rehabilitation surgery
Postoperative recovery
