重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
23期
3201-3203
,共3页
腹腔镜%结直肠肿瘤%进食%快速康复外科
腹腔鏡%結直腸腫瘤%進食%快速康複外科
복강경%결직장종류%진식%쾌속강복외과
laparoscopes%colorectal neoplasms%eating%fast track surgery
目的：探讨腹腔镜结直肠癌切除术后早期经口进食的安全性和促进术后恢复的有效性。方法前瞻性研究128例本院收治的经腹腔镜结直肠癌手术的患者，按是否采纳早期进食方案分为早期进食组(EOF 组)54例和传统进食组(TOF 组)74例。对两组年龄、性别、术前营养状况等基础指标，以及术后第1次下床时间、住院天数、使用镇痛药例数及并发症进行统计学分析。结果EOF 组患者术后第1次下床天数[(1.2±0.8)d vs .(2.5±1.3)d]、术后住院天数[(3.2±1.4)d vs .(5.3±1.6)d]均较 TOF 组明显缩短(P <0.01)。结论腹腔镜结直肠癌切除术后早期进食有利于患者快速康复，且不良反应与传统进食方案相近。
目的：探討腹腔鏡結直腸癌切除術後早期經口進食的安全性和促進術後恢複的有效性。方法前瞻性研究128例本院收治的經腹腔鏡結直腸癌手術的患者，按是否採納早期進食方案分為早期進食組(EOF 組)54例和傳統進食組(TOF 組)74例。對兩組年齡、性彆、術前營養狀況等基礎指標，以及術後第1次下床時間、住院天數、使用鎮痛藥例數及併髮癥進行統計學分析。結果EOF 組患者術後第1次下床天數[(1.2±0.8)d vs .(2.5±1.3)d]、術後住院天數[(3.2±1.4)d vs .(5.3±1.6)d]均較 TOF 組明顯縮短(P <0.01)。結論腹腔鏡結直腸癌切除術後早期進食有利于患者快速康複，且不良反應與傳統進食方案相近。
목적：탐토복강경결직장암절제술후조기경구진식적안전성화촉진술후회복적유효성。방법전첨성연구128례본원수치적경복강경결직장암수술적환자，안시부채납조기진식방안분위조기진식조(EOF 조)54례화전통진식조(TOF 조)74례。대량조년령、성별、술전영양상황등기출지표，이급술후제1차하상시간、주원천수、사용진통약례수급병발증진행통계학분석。결과EOF 조환자술후제1차하상천수[(1.2±0.8)d vs .(2.5±1.3)d]、술후주원천수[(3.2±1.4)d vs .(5.3±1.6)d]균교 TOF 조명현축단(P <0.01)。결론복강경결직장암절제술후조기진식유리우환자쾌속강복，차불량반응여전통진식방안상근。
Objective To analyze the safety and efficacy of early diet after laparoscopic resection of colorectal cancer.Methods A prospective study of 128 patients suffered laparoscopic surgery of colorectal cancer was done in our hospital.According to whether the adoption of early diet program,patients were divided into early oral group (EOF group,n=54)and traditional oral diet group (TOF group,n=74).Age,gender,preoperative nutritional status and other basic factors and postoperative ambulation time, postoperative hospital stay time,the number of cases the use of analgesics,complications of two groups were analyzed statistically. Results The first time of postoperative ambulation time and postoperative hospital stay time of EOF group were significantly re-duced compared TOF group [(1.2±0.8)d vs .(2.5±1.3)d]and [(3.2±1.4)d vs .(5.3±1.6)d](P <0.01).Conclusion Early diet after laparoscopic resection of colorectal cancer is good for patients fast recovery,and postoperative complications of two groups are similar.
