[1]方兴中,杨建美,许晓燕,等.加速康复外科策略在胃癌根治术围手术期中的应用价值[J].医学信息,2021,34(09):92-95.[doi:10.3969/j.issn.1006-1959.2021.09.024]
　FANG Xing-zhong,YANG Jian-mei,XU Xiao-yan,et al.Application Value of Accelerated Rehabilitation Surgery Strategy in the Perioperative Period of Radical Gastric Cancer Surgery[J].Medical Information,2021,34(09):92-95.[doi:10.3969/j.issn.1006-1959.2021.09.024]
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加速康复外科策略在胃癌根治术围手术期中的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年09期
页码:
92-95
栏目:
论著
出版日期:
2021-05-01

文章信息/Info

Title:
Application Value of Accelerated Rehabilitation Surgery Strategy in the Perioperative Period of Radical Gastric Cancer Surgery
文章编号:
1006-1959（2021）09-0092-04
作者:
方兴中; 杨建美; 许晓燕; 等
（兰州市第一人民医院普外科，甘肃 兰州 730050）
Author(s):
FANG Xing-zhong; YANG Jian-mei; XU Xiao-yan; et al.
(General Surgery,Lanzhou First People’s Hospital,Lanzhou 730050,Gansu,China)
关键词:
加速康复外科策略; 胃癌根治术; 围手术期
Keywords:
Accelerated rehabilitation surgery strategy; Radical gastric cancer; Perioperative period
分类号:
R735.2
DOI:
10.3969/j.issn.1006-1959.2021.09.024
文献标志码:
A
摘要:
目的 探讨胃癌根治术围手术期中加速康复外科策略的应用价值。方法 回顾性分析2017年8月~2019年8月于我院行胃癌根治术的60例患者，按照干预方法将其分为观察组和对照组，每组30例，对照组采用常规干预，观察组在对照组基础上加用加速康复外科干预策略，比较两组患者的术后相关指标（胃管放置时间、排气时间、进流食时间、活动时间、住院时间）、术后并发症发生情况、围手术期满意度、血流动力学变化（HR、SBP、DBP）及血清应激指标水平（NE、AE、Cor）。结果 观察组胃管放置时间、排气时间、进流食时间、活动时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为6.67%，低于对照组的26.67%，差异有统计学意义（P＜0.05）；观察组围手术期满意度为96.67%，高于对照组的76.67%，差异有统计学意义（P＜0.05）；T2时，两组患者HR、SBP、DBP高于T1时，且观察组低于对照组，差异均有统计学意义（P＜0.05），T0、T1、T3时两组患者HR、SBP、DBP比较，差异无统计学意义（P＞0.05）；手术前，两组患者血清NE、AE、Cor水平比较，差异无统计学意义（P＞0.05），手术后，两组患者血清NE、AE、Cor水平均低于手术前，且观察组低于对照组，差异均有统计学意义（P＜0.05）。结论 胃癌根治术围手术期中加速康复外科策略的应用价值较常规基础干预高，更能有效缩短患者的胃管放置时间、排气时间、进流食时间、活动时间及住院时间，减少患者术后并发症的发生率，提升患者围手术期满意度，减轻患者应激反应，使患者保持平稳的生命体征。
Abstract:
Objective To explore the application value of surgical strategies for accelerated rehabilitation during the perioperative period of radical gastric cancer surgery.Methods A retrospective analysis of 60 patients who underwent radical gastric cancer surgery in our hospital from August 2017 to August 2019.According to the intervention method, they were divided into observation group and control group, each with 30 cases. The control group used conventional intervention, and the observation group used the accelerated rehabilitation surgical intervention strategy on the basis of the control group.Comparison of postoperative related indicators (gastric tube placement time, exhaust time, fluid feeding time, activity time, hospitalization time), postoperative complications, perioperative satisfaction, hemodynamic changes (HR , SBP, DBP) and serum stress index levels (NE, AE, Cor).Results The observation group’s gastric tube placement time, exhaust time, fluid feeding time, activity time, and hospital stay were shorter than those of the control group,the difference was statistically significant (P＜0.05);The complication rate in the observation group was 6.67%, which was lower than 26.67% in the control group,the difference was statistically significant(P＜0.05);The perioperative satisfaction of the observation group was 96.67%, which was higher than 76.67% of the control group,the difference was statistically significant (P＜0.05);At T2, the HR, SBP, and DBP of the two groups were higher than at T1, and the observation group was lower than the control group,the differences were statistically significant (P＜0.05).There was no statistically significant difference in HR, SBP, and DBP between the two groups at T0, T1, and T3 (P＞0.05);Before surgery, there was no significant difference in serum NE, AE, and Cor levels between the two groups of patients (P＞0.05).After surgery, the serum NE, AE, and Cor levels of the two groups were lower than those before the surgery, and the observation group was lower than the control group, the difference was statistically significant (P＜0.05).Conclusion The application value of accelerated rehabilitation surgical strategies during the perioperative period of radical gastric cancer surgery is higher than that of conventional basic interventions. It can effectively shorten the time of gastric tube placement, exhaust time, fluid feeding time, activity time and hospital stay, and reduce postoperative complications. The incidence of disease, improve patient satisfaction during the perioperative period, reduce the patient’s stress response, and keep the patient’s vital signs stable.

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更新日期/Last Update: 1900-01-01