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目的探讨加速康复外科在胃癌手术中的有效性及安全性。方法选择入院治疗的64例胃癌手术患者为研究对象,随机分为加速康复组和常规对照组,每组32例。在围手术期分别给予加速康复外科干预与常规治疗,观察分析两组患者术后首次排气、排便时间,术后住院时间、术后住院费用和并发症发生率等情况。结果与常规对照组比较,加速康复组术后首次排气、排便时间提前,术后住院时间缩短、住院费减少(P<0.05)。两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论加速康复外科能有效促进胃癌患者术后胃肠功能的恢复,缩短术后住院时间,降低住院费用,是安全有效的。
Objective To investigate the effectiveness and safety of accelerated rehabilitation surgery in gastric cancer surgery. Methods Sixty-four patients with gastric cancer admitted to hospital were selected as study subjects and randomly divided into accelerated rehabilitation group and conventional control group, with 32 cases in each group. During the perioperative period, accelerated surgical intervention and routine treatment were given respectively. The first postoperative exhaust, defecation time, postoperative hospital stay, postoperative hospitalization costs and complication rates were observed and analyzed. Results Compared with the control group, the patients in the accelerated rehabilitation group had the first discharge after the operation, the defecation time was advanced, the postoperative hospitalization time was shortened and the hospitalization fee was decreased (P <0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion Accelerated rehabilitation surgery can effectively promote the recovery of postoperative gastrointestinal function, shorten the postoperative hospital stay and reduce the cost of hospitalization, which is safe and effective.