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目的:探讨加速康复外科(FTS)对胃癌病人体液免疫和临床指标的影响及其合理应用。方法:将56例胃癌病人随机分为FTS组和传统处理组,每组各28例。观察病人术后体液免疫和临床指标。结果:两组病人术后体液免疫均有下降,FTS组病人第1天C3、C4水平为(0.845±0.126)g/L和(0.212±0.070)g/L(P<0.05),术后第3天IgA、IgG、IgM水平分别为(1.603±0.468)g/L、(0.845±0.187)g/L和(9.548±1.920)g/L(P<0.05)。FTS组病人的抗生素使用时间、肛门排气时间、住院时间、术后并发症等指标均好于传统处理组(P<0.01,P<0.05)。结论:FTS对胃癌病人体液免疫影响较小,更有利于术后康复。
Objective: To investigate the effects of accelerated rehabilitation surgery (FTS) on humoral immunity and clinical indicators in patients with gastric cancer and their rational application. Methods: 56 gastric cancer patients were randomly divided into FTS group and conventional treatment group, 28 cases in each group. Observe the patient’s humoral immunity and clinical indicators. Results: The postoperative humoral immunity decreased in both groups. The levels of C3 and C4 on day 1 in FTS group were (0.845 ± 0.126) g / L and (0.212 ± 0.070) g / L, respectively (P <0.05) The levels of IgA, IgG and IgM on the 3rd day were (1.603 ± 0.468) g / L, (0.845 ± 0.187) g / L and (9.548 ± 1.920) g / L, respectively. The antibiotic use time, anal exhaust time, hospitalization time and postoperative complications in FTS group were better than those in the traditional treatment group (P <0.01, P <0.05). Conclusion: FTS has less effect on humoral immunity in patients with gastric cancer and is more conducive to postoperative recovery.