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目的 通过对快速康复外科用于直肠癌前切除术的分析，比较其与传统围手术期处理方法的安全性、稳定性与有效性。方法 以我院在2012年5月-2014年6月收治的25例直肠癌行根治性前切除手术患者采用快速康复外科治疗作为观察组，另以同期28例按照传统治疗方法所进行的围手术期处理的直肠癌患者作为对照组。在研究过程中，比较两组患者在术后的住院时间、肠道恢复排气时间、营养状态的变化、治疗费用以及术后并发症发生状况。结果 与对照组相比，观察组在术后住院时间、治疗费用、术后肠道排气时间、停止输液时间、术后体重下降幅度都有着明显的优势。观察组与对照组在术后并发症的发生状况上并无显著差异。结论 直肠癌经腹前切除手术快速康复治疗是安全、稳定以及有效的，对于患者术后的器官功能的有效恢复具有重要意义。同时，相对较低的治疗费用也减轻了患者的医疗负担，缩短了住院治疗时间。
Objective To evaluate the safety, stability and effectiveness of rapid rehabiliation surgery in the treatment of rectal cancer by comparing with the traditional perioperative management. Methods Twenty-five patients with radical resection of rectal cancer undergoing radical surgery in our hospital from May 2012 to June 2014 were enrolled in the study. The patients were treated by rapid rehabilitation as the observation group. In the same period, 28 patients underwent traditional surgery Patients with rectal cancer treated as controls. During the study, the postoperative hospital stay, intestinal recovery exhaust time, nutritional status changes, treatment costs and postoperative complications were compared between the two groups. Results Compared with the control group, the observation group had obvious advantages in postoperative hospital stay, treatment costs, postoperative intestinal excretion time, stopping infusion time and postoperative weight loss. There was no significant difference between the observation group and the control group in the incidence of postoperative complications. Conclusions Rapid rehabilitative surgery for rectal cancer through abdominal surgery is safe, stable and effective. It is of great significance for the effective recovery of postoperative organ function. At the same time, the relatively lower cost of treatment also lightened the patient’s medical burden and shortened the duration of hospitalization.