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目的探讨快速康复外科在对腹腔镜胃癌根治术围手术期中的应用价值。方法 42例行腹腔镜胃癌根治术的患者,按照护理方法的不同分为快速康复组与传统康复组,每组21例。传统康复组实行传统康复护理,快速康复组实行快速康复外科护理,实验结束后,对比分析两组患者的手术时间、术中出血量、首次排气时间、住院时间。结果快速康复组患者的手术时间为(138.08±29.48)min,术中出血量为(90.13±16.37)ml,首次排气时间为(1.8±0.4)d,住院时间为(17.04±4.11)d;传统康复组患者的手术时间为(175.38±35.61)min,术中出血量为(127.48±27.19)ml,首次排气时间为(4.9±0.5)d,住院时间为(24.68±6.37)d;快速康复组的手术时间、术中出血量、首次排气时间及住院时间均优于传统康复组,差异有统计学意义(P<0.05)。结论对腹腔镜胃癌根治术围手术期患者实行快速康复外科护理具有较高的应用价值,可有效地减轻患者的经济负担,值得临床推广应用。
Objective To investigate the value of rapid rehabilitation surgery in the perioperative period of laparoscopic radical gastrectomy. Methods Forty-two patients undergoing laparoscopic radical gastrectomy were divided into two groups according to different nursing methods: rapid rehabilitation group and conventional rehabilitation group, with 21 cases in each group. The traditional rehabilitation group practiced the traditional rehabilitation nursing, and the rapid rehabilitation group implemented the rapid rehabilitation surgical nursing. After the experiment was finished, the operation time, intraoperative blood loss, the first exhaust time and hospitalization time were compared between the two groups. Results The operation time of fast recovery group was (138.08 ± 29.48) min, the blood loss was (90.13 ± 16.37) ml, the time of first extubation was (1.8 ± 0.4) d and the length of stay was (17.04 ± 4.11) days. In the traditional rehabilitation group, the operation time was (175.38 ± 35.61) min, the intraoperative blood loss was (127.48 ± 27.19) ml, the first discharge time was (4.9 ± 0.5) d and the hospitalization time was (24.68 ± 6.37) days. The operation time, intraoperative blood loss, time to first extubation and hospital stay in the rehabilitation group were all better than those in the traditional rehabilitation group (P <0.05). Conclusion The implementation of rapid rehabilitation of patients with perioperative laparoscopic radical gastrectomy has a high surgical value of surgical care, which can effectively reduce the financial burden on patients, it is worthy of clinical application.