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目的:探讨腹腔镜与快速康复外科结合,在结、直肠癌根治术围手术期的应用效果及可行性。方法:将140例结肠癌、直肠癌手术患者随机分为2组,应用腹腔镜手术相应护理措施和快速康复外科相应护理措施,对腹腔镜快速康复外科护理组采取有效的护理。比较2组临床治疗效果和并发症的发生情况。结果:全部患者完成实验。腹腔镜快速康复外科护理组在首次排气时间、术后住院时间与开腹传统护理组(以下简称对照组)相比均明显提前/缩短、差异有统计学意义(P<0.05);住院总费用腹腔镜快速康复外科护理组与对照组相比差异无统计学意义(P>0.05):但术后用于营养支持的费用腹腔镜快速康复外科护理组少于对照组。腹腔镜快速康复外科护理组无并发症发生。结论:腹腔镜与快速康复外科结合在结、直肠癌根治术围手术期能明显减轻患者痛苦、加速术后康复进程,在结、直肠癌治疗中是安全可行的。
Objective: To explore the application effect and feasibility of laparoscopic combined with rapid rehabilitation surgery in the perioperative period of radical mastectomy and rectal cancer. Methods: One hundred and forty patients with colon cancer and rectal cancer were randomly divided into two groups. Appropriate nursing measures of laparoscopic surgery and corresponding nursing care of rapid rehabilitation were applied to provide effective care for laparoscopic surgical group. The clinical effects and complications of the two groups were compared. Results: All patients completed the experiment. The time of first extubation and postoperative hospital stay were significantly earlier / shorter in laparoscopic surgery group than in open traditional nursing group (P <0.05) There was no significant difference in cost between laparoscopic surgery group and control group (P> 0.05). However, the cost of postoperative nutritional support was less in laparoscopic surgery group than in control group. Laparoscopic surgical rehabilitation group no complications. Conclusion: Laparoscopy combined with rapid rehabilitative surgery in the perioperative period of radical mastectomy and rectal cancer can significantly reduce the pain and speed up the postoperative rehabilitation process. It is safe and feasible in the treatment of colorectal cancer.