快速康复外科技术在老年结直肠癌患者围手术期应用效果的临床研究

doi:10.3877/cma.j.issn.2095-3224.2014.03

中华结直肠疾病电子杂志 ›› 2014, Vol. 03 ›› Issue (03) : 189 -191. doi: 10.3877/cma.j.issn.2095-3224.2014.03

所属专题：文献；

论著

快速康复外科技术在老年结直肠癌患者围手术期应用效果的临床研究

耿长辉¹, 李鑫磊¹, 张靖岩¹, 李延林¹^,^†(

)

^1. 163316　大庆，哈尔滨医科大学附属第五医院普外科

收稿日期:2014-05-05 出版日期:2014-06-25
通信作者: 李延林

Application of fast track surgery technique in senile patients with colorectal cancer

Chang-hui GENG¹, Xin-lei LI¹, Jing-yan ZHANG¹, Yan-lin LI¹^,^†()

^1. General Surgery Department, the Fifth Hospital of Harbin Medical University, Daqing 150009, China

Received:2014-05-05 Published:2014-06-25
Corresponding author: Yan-lin LI
About author:
Corresponding author: LI Yan-lin, Email: liyanlin58@126.com

全文 ( ) 下载PDF ( ) 导出引用

目的

探讨快速康复外科护理措施在结直肠癌患者围术期的应用效果。

方法

将68例结直肠癌手术患者按住院号随机分为快速康复治疗组和传统治疗组，分别采用快速康复外科(FTS)技术及传统方法进行围手术期处理。

结果

相比传统组，采用FTS组的术后首次排气时间、首次排便时间缩短；恶心、呕吐发生率、手术并发症的发生率降低；术前、术后营养状态良好、住院时间缩短、住院总费用降低。

结论

采用FTS技术对老年结直肠癌患者进行围手术期处理可促进患者康复、减少费用。

关键词: 康复, 结直肠肿瘤, 围手术期医护, 护理

Objective

To evaluate the nursing technic of fast track surgery in senile patients with colorectal cancer.

Methods

68 patients with colorectal cancer who underwent surgery were randomly divided into the intervention group and the control group.The nursing technic of fast track surgery were applied in the intervention group, while the conventional nursing were taken in the control group.

Results

Compared with the conventional nursing, the application of fast track surgery nursing can significantly shorten the duration of passing flatus and defecation, and decrease the complication rate.Besides, the fast track surgery nursing can provide better perioperative nutritional status, reduce the length of hospital stay and expense.

Conclusion

Fast track surgery nursing technic is safe and effective for reducing hospital stay and getting better recovery following colorectal surgery.

Key words: Rehabilitation, Colorectal neoplasms, Perioperative care, Nursing care

[1]	黎介寿. 对Fast－track Surgery(快通道外科)内涵的认识. 中华医学杂志, 2007, 87(8): 515.
[2]	江志伟,李宁,黎介寿. 加速康复外科的概念及临床意义. 中国实用外科杂志, 2007, 27(2): 131.
[3]	Kehlet H,Wilmore DW.Multimodal sreategies to improve surgical outcome.Am J Surg, 2002, 183(6): 630.
[4]	Charles W,Van Way？.Perioperative nutritional support as an adjunct to surgical therapy for cancer.Nutr Clin Pract, 2002, 17(4): 214-217.
[5]	Zmora O,Wexner SD,Hajjar L, et al.Trends in preparat ion forcolorectal surgery of the american of society of colon and rectal surgeons.Am Surg, 2003, 69(2): 150-154.
[6]	Mattei P,Rombeau JL.Review of the pathophysiology and management of post operative ileus.World J Surg, 2006, 30(8): 1382.
[7]	Schuster TG,Montie JE.Post operative ileus after abdominal surgery.Urology, 2002, 59(4): 465.
[8]	Kehlet H. Surical stress response：Does endoscopic surgery confer advantage? World J Surg, 1999, 23(8): 801.
[9]	Shea JA,Berlin JA,Bachwich DR, et al.Indications for and outcomes of cholecystectomy：a comparison of the pre and post laparoscopiceras.Ann Surg, 1998, 227(3): 343.
[10]	Bisgaard T,Kehlet H. Early oral feeding after elective abdominal surgery what are the issues? Nutrition, 2002, 18(11): 944-948.
[11]	Wilmore DW,Kehlet H. Management of patients in fast track surgery.BMJ, 2001, 322(24): 473-476.

[1]	钟锴, 蒋铁民, 张瑞青, 吐尔干艾力·阿吉, 邵英梅, 郭强. 加速康复外科在肝囊型棘球蚴病肝切除术中的应用分析[J/OL]. 中华普通外科学文献(电子版), 2024, 18(06): 425-429.
[2]	徐逸男. 不同术式治疗梗阻性左半结直肠癌的疗效观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 72-75.
[3]	曹健, 冯高华, 周卫军, 陈诚, 沈王丰, 吴英姿. 补脾益肺膏联合肺康复训练治疗慢性阻塞性肺疾病的临床分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 781-784.
[4]	韩加刚, 王振军. 梗阻性左半结肠癌的治疗策略[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 450-458.
[5]	梁轩豪, 李小荣, 李亮, 林昌伟. 肠梗阻支架置入术联合新辅助化疗治疗结直肠癌急性肠梗阻的疗效及其预后的Meta 分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 472-482.
[6]	严虹霞, 王晓娟, 张毅勋. 2 型糖尿病对结直肠癌患者肿瘤标记物、临床病理及预后的影响[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 483-487.
[7]	赵磊, 刘文志, 林峰, 于剑, 孙铭骏, 崔佑刚, 张旭, 衣宇鹏, 于宝胜, 冯宁. 深部热疗在改善结直肠癌术后辅助化疗副反应及生活质量中的作用研究[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 488-493.
[8]	黄海洋, 邝永龙, 陈嘉胜. 基层医院结直肠肿瘤经自然腔道取标本手术30 例分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 510-518.
[9]	谢浩文, 丁建英, 刘小霞, 冯毅, 姚婧. 椎旁神经阻滞对微创胃切除肥胖患者术中血流、术后应激及康复质量的影响[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 569-573.
[10]	贾玲玲, 滕飞, 常键, 黄福, 刘剑萍. 心肺康复在各种疾病中应用的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 859-862.
[11]	陈秀梅, 陈思涓, 郑小静. 护理联盟体构建及实践的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 703-708.
[12]	广东省护士协会介入护士分会, 广东省医师协会介入医师分会. 原发性肝癌低血糖患者护理规范管理专家共识[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 709-714.
[13]	吴荣奎, 吴静, 冯俊浩, 钟嘉懿. 临床护理路径在经股动脉入路介入患者的应用[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 729-733.
[14]	于洁, 金小红, 顾艳楣, 王慧, 葛杨杨, 李燕. 癌症相关静脉血栓栓塞症患者疾病体验与需求的质性研究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 739-744.
[15]	刘芳明, 石秀秀, 唐冲, 张克石, 徐影, 王桂杉, 关振鹏, 李晓. 骨科康复患者对数字疗法应用的知晓度和需求度：一项基于928 份问卷调查结果分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 654-661.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Application of fast track surgery technique in senile patients with colorectal cancer

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Application of fast track surgery technique in senile patients with colorectal cancer