南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
Acta Academiae Medicinae Jiangxi
2015年
4期
57-59
,共3页
快速康复理念%腹腔镜%结肠癌%疼痛%炎症%胃肠功能
快速康複理唸%腹腔鏡%結腸癌%疼痛%炎癥%胃腸功能
쾌속강복이념%복강경%결장암%동통%염증%위장공능
fast-track surgery%laparoscopy%colorectal cancer%pain%inflammation%gastrointestinal function
目的：探讨快速康复理念（fast-track surgery，FTS）对腹腔镜结肠癌切除术后疼痛、炎症反应和胃肠功能的影响。方法将46例结肠癌患者按随机数字法分为观察组和对照组，每组23例。2组均行腹腔镜下结肠癌切除术，观察组围术期采用 FTS 治疗，对照组采用传统治疗。比较2组术后首次排气时间、肠鸣音恢复时间及术后下地时间，术前及术后 VAS 评分，术后1 d 白细胞、红细胞、白蛋白及球蛋白水平。结果观察组术后首次排气时间、肠鸣音恢复时间及术后下地时间均较对照组显著缩短（P ＜0．05）；术后 VAS 评分较对照组显著减少（P ＜0．05）；术后红细胞、球蛋白和白蛋白水平均显著高于对照组，而白细胞水平显著低于对照组（P ＜0．05）。结论腹腔镜结肠癌切除术后施行快速康复治疗措施，有利于降低患者疼痛，提高免疫能力，降低炎症反应程度，同时促进胃肠蠕动，缩短内环境恢复时间。
目的：探討快速康複理唸（fast-track surgery，FTS）對腹腔鏡結腸癌切除術後疼痛、炎癥反應和胃腸功能的影響。方法將46例結腸癌患者按隨機數字法分為觀察組和對照組，每組23例。2組均行腹腔鏡下結腸癌切除術，觀察組圍術期採用 FTS 治療，對照組採用傳統治療。比較2組術後首次排氣時間、腸鳴音恢複時間及術後下地時間，術前及術後 VAS 評分，術後1 d 白細胞、紅細胞、白蛋白及毬蛋白水平。結果觀察組術後首次排氣時間、腸鳴音恢複時間及術後下地時間均較對照組顯著縮短（P ＜0．05）；術後 VAS 評分較對照組顯著減少（P ＜0．05）；術後紅細胞、毬蛋白和白蛋白水平均顯著高于對照組，而白細胞水平顯著低于對照組（P ＜0．05）。結論腹腔鏡結腸癌切除術後施行快速康複治療措施，有利于降低患者疼痛，提高免疫能力，降低炎癥反應程度，同時促進胃腸蠕動，縮短內環境恢複時間。
목적：탐토쾌속강복이념（fast-track surgery，FTS）대복강경결장암절제술후동통、염증반응화위장공능적영향。방법장46례결장암환자안수궤수자법분위관찰조화대조조，매조23례。2조균행복강경하결장암절제술，관찰조위술기채용 FTS 치료，대조조채용전통치료。비교2조술후수차배기시간、장명음회복시간급술후하지시간，술전급술후 VAS 평분，술후1 d 백세포、홍세포、백단백급구단백수평。결과관찰조술후수차배기시간、장명음회복시간급술후하지시간균교대조조현저축단（P ＜0．05）；술후 VAS 평분교대조조현저감소（P ＜0．05）；술후홍세포、구단백화백단백수평균현저고우대조조，이백세포수평현저저우대조조（P ＜0．05）。결론복강경결장암절제술후시행쾌속강복치료조시，유리우강저환자동통，제고면역능력，강저염증반응정도，동시촉진위장연동，축단내배경회복시간。
Objective To investigate the effects of fast-track surgery(FTS)on pain,inflamma-tory response and gastrointestinal function after laparoscopic colorectal cancer resection.Methods Forty-six patients with colon cancer underwent laparoscopic colorectal cancer resection.In the perioperative period,these patients were randomly assigned to receive either FTS treatment(ob-servation group,n = 23)or traditional treatment(control group,n = 23).Postoperative anal ex-haust time,bowel sound recovery time and ambulation time were compared between the two groups.Furthermore,VAS score was recorded before and after operation.Moreover,white blood cell count,red blood cell count,and levels of albumin and globulin were measured 1 day after op-eration.Results Compared with control group,anal exhaust time,bowel sound recovery time and ambulation time were shortened,VAS score and white blood cell count were decreased,and levels of albumin and globulin and red blood cell count were increased in observation group after opera-tion(P <0.05).Conclusion FTS treatment following laparoscopic colorectal cancer resection can relieve pain,improve immune function,reduce inflammatory response,promote gastrointestinal peristalsis,and shorten internal environment recovery time in patients with colorectal cancer.
