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目的探讨快速流程应用于梗阻型结直肠癌外科治疗的临床安全性与可行性。方法回顾性分析2008年2月至2009年2月期间四川大学华西医院胃肠外科中心结直肠外科专业组收治的157例梗阻型结直肠癌患者的临床资料,其中接受快速流程管理模式者59例(快速流程组),未接受者98例(传统组)。研究不同管理模式下患者早期恢复情况及并发症发生情况。结果从术后早期康复指标来看,快速流程组患者的首次排气时间、首次经口进食时间和术后住院时间均短于传统组患者,差异有统计学意义(P<0.05);而2组间首次下床活动时间及首次拔除胃管、尿管和引流管时间的差异则没有统计学意义(P>0.05)。2组间术后并发症发生率的差异没有统计学意义(P>0.05)。结论梗阻型结直肠癌外科治疗中采用快速流程管理模式具有良好的安全性,能够缩短该类患者住院时间,促进术后康复,改善其生活质量。
Objective To investigate the clinical safety and feasibility of rapid procedure in the surgical treatment of obstructive colorectal cancer. Methods The clinical data of 157 patients with obstructive colorectal cancer admitted to the Department of Colorectal Surgery, West China Hospital of Sichuan University from February 2008 to February 2009 were retrospectively analyzed. Among them, 59 (Fast-flow group), 98 non-recipients (traditional group). To study the different modes of management of patients with early recovery and the occurrence of complications. Results From the early postoperative rehabilitation indicators, the first extubation time, the first oral intake time and the postoperative hospital stay of patients in the fast-flow group were shorter than those in the traditional group (P <0.05); while 2 There was no significant difference in the time of first ambulation and the first time of gastric tube, catheter and drainage tube between the two groups (P> 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion The rapid flow management model in the surgical treatment of obstructive colorectal cancer has good safety, which can shorten the length of hospital stay, promote postoperative rehabilitation and improve the quality of life.