本文選題：快速康復外科 + 圍手術期　； 參考：《廣西醫(yī)科大學》2017年碩士論文

【摘要】：目的:評估快速康復外科在腹腔鏡結直腸癌手術中應用的效果。方法:根據(jù)圍手術期的處理方法,161例結直腸癌患者分別應用快速康復外科方法和傳統(tǒng)治療方法來處理,對比兩組患者的術后第1、2、3天疼痛評分,術后第1、2、3天的生活自理能力,排便時間,總住院天數(shù),術后住院天數(shù),再入院率,并發(fā)癥發(fā)生率,總住院費用和C反應蛋白(CRP)。結果:快速康復外科組與傳統(tǒng)組對比,術后排便天數(shù)提前(p0.05),術后第3天生活自理能力提高(p0.05),總住院費用減少(p0.05),術后第1、2天生活自理能力、術后第1、2、3天疼痛評分、總住院天數(shù)、術后住院天數(shù)、CRP、再入院率、并發(fā)癥發(fā)生率等無明顯差別(p0.05)。結論:快速康復外科在腹腔鏡結直腸癌手術中的應用可促進腸道功能恢復、提高術后生活自理能力、減少住院費用,沒有增加術后并發(fā)癥發(fā)生率及再入院率。
[Abstract]:Objective: to evaluate the effect of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery. Methods: according to the perioperative management, 161 patients with colorectal cancer were treated by rapid rehabilitation surgery and traditional treatment respectively. The pain scores of the first 2 days after operation and the ability of self-care on the 1st and 2nd day after operation were compared between the two groups. Defecation time, total hospital stay, postoperative hospital stay, readmission rate, incidence of complications, total hospitalization expenses and C-reactive protein (CRP). Results: compared with the traditional group, the postoperative defecation days in the rapid rehabilitation surgery group were improved in advance (p0.05), the self-care ability of the patients was improved on the third day after operation, the total cost of hospitalization was reduced, the ability of living self-care was reduced on the 12th day after operation, the pain score of the 1st day was 2days after operation, and the total number of days in hospital was also increased. No significant difference was found in the days of hospitalization, readmission rate, complication rate and so on. Conclusion: the application of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery can promote the recovery of intestinal function, improve the ability of self-care, reduce the cost of hospitalization, and do not increase the incidence of postoperative complications and readmission rate.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R735.34

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