加速康复外科措施在结肠癌根治术中的应用
[摘要] 目的 探讨加速康复外科措施在结肠癌根治术中的应用价值。 方法 2015年8月~2017年8月间124例结肠癌患者在本院行手术治疗,其中61例患者接受加速康复外科治疗(ERAS组),其余 63例患者接受常规治疗(对照组)。比較两组患者术后肠功能恢复时间、排便时间、进食半流质时间、术后住院时间、总住院时间、住院费用和术后并发症等。 结果 ERAS组术后肠功能恢复时间(32.45±5.24 vs 57.32±5.24,P=0.0000)h,排便时间(68.24±9.65 vs 94.25±11.41,P=0.0000)h,进食半流质时间(3.74±0.92 vs 5.23±1.12,P=0.0000)d,术后住院时间(12.14±2.74 vs 15.24±3.47,P=0.0000)d,总住院时间(15.47±2.78 vs 19.34±3.24,P=0.0000)d,住院费用(48527.85±304.21 vs 52342.21±345.22,P=0.0000)元,均较对照组明显减少。ERAS组肺部感染(3/61 vs 12/63,P=0.0159)、尿潴留(4/61 vs 13/63,P=0.0227)、泌尿系感染(3/61 vs 11/63,P=0.0102)发生率明显低于对照组。两组深静脉血栓(1/61 vs 3/63,P=0.3252)、切口感染(9/61 vs 12/63,P=0.5239)、吻合口出血(3/61 vs 4/63,P=0.7299)、吻合口漏(2/61 vs 3/63,P=0.6747)发生率无明显差异。 结论 加速康复外科措施能促进结肠癌患者术后恢复,减少并发症的发生。
[关键词] 结肠癌;加速康复外科;并发症;康复;围手术期
[中图分类号] R735.3 [文献标识码] B [文章编号] 1673-9701(2018)20-0064-04
Pathogen distribution and antimicrobial resistance in neurological intensive care unit
FENG Min TANG Chengwu
Department of Surgery, First Affiliated People"s Hospital of Huzhou University, Huzhou 313000, China
[Abstract] Objective To investigate the value of applying enhanced recovery after surgery (ERAS) in patients with colon carcinoma treated with radical surgery. Methods 124 patients with colon carcinoma in our hospital from August, 2015 to August, 2017 were through radical surgery. Out of them, 61 received ERAS treatment (ERAS group) and 61 received conventional treatment(control group). The time of restored enteric functio...
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