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加速康复外科在腹腔镜胃癌根治术中的应用 预览

Application of Accelerated Rehabilitation Surgery in Laparoscopic Radical Gastrectomy
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摘要 目的探讨加速康复外科对腹腔镜胃癌根治术患者术后康复及免疫功能的影响。方法选取我院2016年7月—2018年3月收治的行腹腔镜胃癌根治术患者72例作为研究对象。采用随机数字表法,将其分为对照组与观察组,每组各36例。对照组接受常规围术期管理,观察组采用加速康复外科围术期管理,对两组患者术后康复情况及免疫功能进行观察。结果观察组患者术后首次排气时间、进食时间、住院时间、疼痛程度,与对照组比较,差异均具有统计学意义(P<0.05);两组患者术前的CD8+、CD4+、CD4+/CD8+等免疫指标比较,差异无统计学意义(P>0.05);术后3d时,两组患者的免疫指标均有下降,但观察组优于对照组,差异具有统计学意义(P<0.05)。结论加速康复外科用于腹腔镜胃癌根治术围术期可促进术后康复,也能保护机体免疫功能。 Objective To investigate the effect of accelerated rehabilitation surgery on postoperative rehabilitation and immune function in patients undergoing laparoscopic radical gastrectomy. Methods 72 patients who underwent laparoscopic radical gastrectomy from July 2016 to March 2018 in our hospital were selected as the study subjects. The patients were divided into control group and observation group with 36 cases in each group by random number table method. The control group received routine perioperative management. The observation group was treated with perioperative management of accelerated rehabilitation surgery. The recovery and immune function of the two groups were observed. Results Compared with the control group, the first exhaust time, eating time, hospitalization time and pain degree of the patients in the observation group were significantly different (P < 0.05). There was no significant difference in preoperative immune indexes of CD8+, CD4+, CD4+/CD8+ between the two groups (P > 0.05). At the 3rd day after operation, the immune indexes of the two groups decreased, but the observation group was better than the control group, the difference was statistically significant (P < 0.05). Conclusion Accelerated rehabilitation surgery for laparoscopic radical gastrectomy can promote postoperative rehabilitation, protect the body's immune function.
作者 颜宏锐 YAN Hongrui(Department of Gastrointestinal Surgery,Macheng City People's Hospital,Macheng Hubei 438300,China)
出处 《中国继续医学教育》 2019年第18期98-100,共3页 China Continuing Medical Education
关键词 加速康复外科 胃癌 腹腔镜胃癌根治术 术后康复 免疫功能 围术期管理 accelerated rehabilitation surgery gastric cancer laparoscopic radical gastrectomy postoperative rehabilitation immune function perioperative management
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