中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2011年
10期
1309-1312
,共4页
郝晋%杨廷翰%蒲怡%赵娜%汪晓东%李立
郝晉%楊廷翰%蒲怡%趙娜%汪曉東%李立
학진%양정한%포이%조나%왕효동%리립
补液疗法/方法%结直肠肿瘤/外科学%外科吻合口%伤口愈合
補液療法/方法%結直腸腫瘤/外科學%外科吻閤口%傷口愈閤
보액요법/방법%결직장종류/외과학%외과문합구%상구유합
Fluid therapy/MT%Colorectal neoplasms/SU%Surgical stomas%Wound healing
目的 探讨快速流程模式下术后限制补液策略对结直肠癌术后患者吻合口愈合的影响.方法 回顾性分析2008年1月至2009年11月期间四川大学华西医院胃肠外科结直肠专业组收治的483例结直肠癌患者的病例资料,其中采用限制补液策略的患者166例(限制补液组),采用常规补液策略的患者317例(常规补液组).比较采用不同补液方案患者的临床疗效差异.结果 从术后早期康复指标来看,快速流程组组患者的首次排气时间(3.9 d vs 4.4 d)、首次下床(2.9 dvs3.3 d)、首次经口进食(2.9 d vs 3.6 d)、首次拔除尿管(4.6 d vs 5.5 d)和引流管(2.2 d vs 3.1 d)的时间以及术后住院时间(8.7 d vs 11.6 d)均短于传统组患者,差异有统计学意义(P＜0.01)；而2组首次拔除胃管时间(1.1 d vs l.2 d)比较差异无统计学意义(P＞0.05).2组间术后并发症发生率比较差异有统计学意义(P＜0.05).结论 术后限制补液策略可以降低结直肠癌患者术后常见并发症的发生率,并对吻合口的愈合有积极意义.
目的 探討快速流程模式下術後限製補液策略對結直腸癌術後患者吻閤口愈閤的影響.方法 迴顧性分析2008年1月至2009年11月期間四川大學華西醫院胃腸外科結直腸專業組收治的483例結直腸癌患者的病例資料,其中採用限製補液策略的患者166例(限製補液組),採用常規補液策略的患者317例(常規補液組).比較採用不同補液方案患者的臨床療效差異.結果 從術後早期康複指標來看,快速流程組組患者的首次排氣時間(3.9 d vs 4.4 d)、首次下床(2.9 dvs3.3 d)、首次經口進食(2.9 d vs 3.6 d)、首次拔除尿管(4.6 d vs 5.5 d)和引流管(2.2 d vs 3.1 d)的時間以及術後住院時間(8.7 d vs 11.6 d)均短于傳統組患者,差異有統計學意義(P＜0.01)；而2組首次拔除胃管時間(1.1 d vs l.2 d)比較差異無統計學意義(P＞0.05).2組間術後併髮癥髮生率比較差異有統計學意義(P＜0.05).結論 術後限製補液策略可以降低結直腸癌患者術後常見併髮癥的髮生率,併對吻閤口的愈閤有積極意義.
목적 탐토쾌속류정모식하술후한제보액책략대결직장암술후환자문합구유합적영향.방법 회고성분석2008년1월지2009년11월기간사천대학화서의원위장외과결직장전업조수치적483례결직장암환자적병례자료,기중채용한제보액책략적환자166례(한제보액조),채용상규보액책략적환자317례(상규보액조).비교채용불동보액방안환자적림상료효차이.결과 종술후조기강복지표래간,쾌속류정조조환자적수차배기시간(3.9 d vs 4.4 d)、수차하상(2.9 dvs3.3 d)、수차경구진식(2.9 d vs 3.6 d)、수차발제뇨관(4.6 d vs 5.5 d)화인류관(2.2 d vs 3.1 d)적시간이급술후주원시간(8.7 d vs 11.6 d)균단우전통조환자,차이유통계학의의(P＜0.01)；이2조수차발제위관시간(1.1 d vs l.2 d)비교차이무통계학의의(P＞0.05).2조간술후병발증발생솔비교차이유통계학의의(P＜0.05).결론 술후한제보액책략가이강저결직장암환자술후상견병발증적발생솔,병대문합구적유합유적겁의의.
Objective To discuss the clinical effect of restrict rehydration strategy on anastomotic healing of patients with colorectal cancer.Methods 483 cases of colorectal cancer ( from January 2008 to November 2009) were analyzed retrospectively,166 in fluid restriction group and 317 in tradition therapy group.Postoperative early rehabilitations and complications were studied and compared.Results The first time of passing flatus(3.9 d vs 4.4 d),first ambulation(2.9 d vs 3.3 d),oral intake(2.9 d vs 3.6 d),time with use of urinary catheter(4.6 d vs 5.5 d),and drains(2.2 d vs 3.1 d),and postoperative hospital stay ( 8.7 d vs 11.6 d) in fluid restriction group were significantly earlier or less than those in tradition therapy group ( P ＜ 0.01 ),while there were no significant differences in time with use of nasogastric tubes ( 1.1 d vs 1.2 d) between the 2 groups ( P ＞ 0.05 ).There was significant difference in the postoperative complications rate between the two groups ( P ＜ 0.05 ).Conclusions Restrictive fluid regimen could reduce the incidence of common complications for patients after colorectal surgery,and might have a certain promoter action to the anastomotic healing.
