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目的观察加速康复外科治疗结直肠癌的疗效和安全性。方法病人随机分为加速康复组和传统治疗组,每组70例。观察两组的肠蠕动恢复时间,排气时间,排便时间,住院费用,再入院率及并发症。结果加速康复外科组的肠蠕动恢复时间分别为(8.01±1.74)h和(13.05±3.07)h。加速康复外科组的排气、排便时间分别为(50.31±11.21)h和(79.46±10.55)h,明显早于传统治疗组的(78.46±12.93)h和(101.07±11.44)h。加速康复外科组的住院费用和住院时间明显少于传统治疗组。加速康复组肺部感染、泌尿系统感染、肠梗阻、咽喉炎低于传统治疗组(P<0.05)。结论加速康复外科治疗结直肠癌是有效和可靠的。
Objective To observe the effect and safety of accelerated rehabilitation surgical treatment of colorectal cancer. Methods Patients were randomly divided into accelerated rehabilitation group and traditional treatment group, 70 cases in each group. The recovery time of intestinal peristalsis, exhaust time, defecation time, hospitalization expenses, readmission rates and complications were observed. Results The recovery time of peristalsis in accelerated surgical group was (8.01 ± 1.74) h and (13.05 ± 3.07) h, respectively. Exhalation and defecation times in accelerated surgical group were (50.31 ± 11.21) h and (79.46 ± 10.55) h, respectively, significantly earlier than those in the conventional treatment group (78.46 ± 12.93) h and (101.07 ± 11.44) h. Accelerated rehabilitation surgery group hospitalization costs and hospitalization time was significantly less than the traditional treatment group. Pulmonary infection, urinary tract infection, intestinal obstruction and laryngitis in accelerated rehabilitation group were lower than those in the traditional treatment group (P <0.05). Conclusion Accelerated rehabilitation of colorectal cancer surgery is effective and reliable.