加速康复外科在结直肠癌手术中的应用研究

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (4): 67-.

加速康复外科在结直肠癌手术中的应用研究

1. 南京市高淳人民医院普外科，江苏南京 211300；2. 无锡市新吴区旺庄街道社区卫生服务中心全科门诊，江苏无锡 214000

出版日期:2022-10-01 发布日期:2023-01-13

Study on the application of accelerated rehabilitation surgery in colorectal cancer surgery

1. General Surgery Department of Nanjing Gaochun People's Hospital, Jiangsu Nanjing 211300, China; 2.General Clinic of Wangzhuang Street Community Health Service Center in Xinwu District of Wuxi, Jiangsu Wuxi 214000, China

Online:2022-10-01 Published:2023-01-13

摘要/Abstract

摘要：

目的分析加速康复外科（enhanced recovery after surgery,ERAS）在结直肠癌手术中的应用效果。方法选取2018 年5 月至2021 年5 月南京市高淳人民医院住院的120 例结直肠癌手术患者，根据随机数字表法分为对照组与观察组各60 例，对照组接受传统康复干预，观察组接受ERAS 干预，比较两组患者术后恢复指标、血清炎症指标、并发症总发生率。结果观察组患者首次肛门排气、排便时间、住院时间均短于对照组，差异均有显著性（P ＜ 0.05）。观察组患者术后3d 血清肿瘤坏死因子-α、C 反应蛋白、白介素-6 水平均低于对照组，且并发症总发生率（1.67%）均低于对照组（13.33%），差异均有显著性（P ＜ 0.05）。结论 ERAS应用于结直肠癌手术，可缩短患者机体恢复时间，减轻炎症反应，降低并发症发生率。

关键词: 康复干预, 加速康复外科, 结直肠癌, 炎症反应

Abstract:

Objective To analyze the application of accelerated rehabilitation surgery (ERAS) in colorectal cancer surgery. Method 120 colorectal cancer patients hospitalized in Nanjing Gaochun People's Hospital from May 2018 to May 2021 were selected and randomly divided into control group and observation group with 60 patients each. The control group received traditional rehabilitation intervention and the observation group received ERAS intervention. The postoperative recovery indicators, serum inflammation indicators and the total incidence of complications of the two groups were compared. Result The first anal exhaust, defecation time and hospitalization time in the observation group were shorter than those in the control group, with significant differences (P ＜ 0.05). The serum tumor necrosis factor-α, C reactive protein and interleukin-6 in the observation group were lower than those in the control group 3 days after operation, and the total incidence of complications (1.67%) was lower than

that in the control group (13.33%), with significant differences (P ＜ 0.05). Conclusion ERAS can shorten recovery time, reduce inflammatory response and reduce complications in colorectal cancer patients.

Key words: Rehabilitation intervention, Enhanced recovery surgery, Colorectal cancer, Inflammatory response

史韦韦, 万淞. 加速康复外科在结直肠癌手术中的应用研究 [J]. 临床普外科电子杂志, 2022, 10(4): 67-.

SHI Weiwei, WAN Song. Study on the application of accelerated rehabilitation surgery in colorectal cancer surgery [J]. Journal of General Surgery for Clinicians, 2022, 10(4): 67-.

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