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中国现代手术学杂志  2018, Vol. 22 Issue (2): 122-125    DOI: 10.16260/j.cnki.1009-2188.2018.02.010
  临床论著 |
加速康复外科在腹腔镜结直肠癌手术围手术期的应用研究
朱州1,钟晓刚1,秦俭2
1.广西壮族自治区人民医院胃肠外科, 南宁 530021;2.广西壮族自治区人民医院放疗科,南宁 530021
The Application of Enhance Recovery after Surgery in Perioperative Period of Laparoscopic ColorectalSurgery
ZHU Zhou1, ZHONG Xiao-gang1, QIN Jian2 
1.?Department?of?Gastrointestinal?Surgery,?People's?Hospital?of?Guangxi?Zhuang?Autonomous?Region,?Nanning?530021,?Guangxi,?China; 2.?Department?of?Radiotherapy,?People's?Hospital?of?Guangxi?Zhuang?Autonomous?Region,?Nanning?530021,?Guangxi,?China
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摘要 目的 观察加速康复外科(enhance recovery after surgery,ERAS)对腹腔镜结直肠癌根治术患者机体术后康复的影响。 方法 将106例腹腔镜结直肠癌根治术患者随机分成常规组(n=54)和加速康复组(n=52)。观察手术时间、术中出血量、术后首次排气时间、首次排便时间、进食时间和拔除导尿管时间、术后疼痛评分、术后吻合口瘘、肺部感染、腹腔感染、肠梗阻等并发症的发生率。结果 两组手术时间和术中出血量无明显差异(P>0.05)。术后首次排气和排便时间、进食时间、拔除尿管时间、疼痛评分,常规组较对照组长(P<0.05)。而术后吻合口瘘、肺部感染、腹腔感染和肠梗阻等并发症的发生率,两组无差异(P﹥0.05)。 结论 结直肠癌患者应用EARS理念行腹腔镜手术,可更有效地缓解术后的炎性反应,减轻分解代谢,促进患者胃肠功能恢复,对患者术后的加速康复起到了积极的作用。
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朱州1,钟晓刚1,秦俭2
关键词:  加速康复外科   结直肠肿瘤    
Abstract: Objective To observe the effect of enhance recovery after surgery (ERAS) on the postoperative rehabilitation in the patients undergoing laparoscopic radical surgery for colorectal cancer. Methods 106 patients with laparoscopic radical resection of colorectal cancer were randomly divided into the conventional group (n=54) and the ERAS group (n=52). It was compared in the aspects of the first postoperative anal exhaust time, the first defecation time, feeding time and catheter removal time, postoperative pain score, and complications, such as postoperative anastomotic leakage, pulmonary infection, abdominal infection and intestinal obstruction. Results There was no significant difference in operation time and the hemorrhage volume. But time of the first anal exhaust and defecation, time of feeding, time of catheter removal, and the pain score of the ERAS group were all better than that of the conventional group (P<0.05). There was no difference in the complication rate (P>0.05). Conclusion The EARS concept using in the laparoscopic radical surgery for patients with colorectal cancer can relieve postoperative inflammatory reactions more effectively, reduce catabolism, and promote the recovery of the gastrointestinal function, which plays a positive role in the accelerated recovery after surgery.
Key words:  accelerated rehabilitation surgery     colorectal neoplasms
               出版日期:  2018-04-26      发布日期:  2018-08-14      期的出版日期:  2018-04-26
ZTFLH:  R735.3  
  R656.9  
  R657.1  
基金资助: 广西自然科学基金项目(编号:2016GXNSFAA380106)
通讯作者:  钟晓刚,男,43岁,广西壮族自治区人民医院胃肠外科主任医师。   
作者简介:  朱州,男,43岁,广西壮族自治区人民医院胃肠外科副主任医师。
引用本文:    
朱州1,钟晓刚1,秦俭2. 加速康复外科在腹腔镜结直肠癌手术围手术期的应用研究[J]. 中国现代手术学杂志, 2018, 22(2): 122-125.
ZHU Zhou. The Application of Enhance Recovery after Surgery in Perioperative Period of Laparoscopic ColorectalSurgery. Chinese Journal of Modern Operative Surgery, 2018, 22(2): 122-125.
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