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加速康复外科临床路径在结直肠癌围手术期护理中的应用 被引量:5

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摘要 目的探讨结直肠癌切除术后采用加速康复外科临床路径护理的安全性及有效性.方法回顾性分析2017年2月至2018年1月206例结直肠癌切除患者临床资料.2017年2月至7月为传统方法组(对照组)(n=101);2017年8月至2018年1月为加速康复组(观察组)(n=105).比较两组患者术后并发症、住院时间、住院费用情况.结果与对照组比较,观察组术后并发症减少,住院时间缩短、住院费用降低,差异均有统计学意义(P<0.05).结论加速康复外科理念指导下的结直肠癌临床路径安全、有效,可明显减轻围手术期患者的应激反应,加速患者康复,值得临床推广. Objective To explore the safety and efficacy of adopting the clinical pathway of Enhanced Recovery After Surgery(ERAS)to patients undergoing the radical resection of colorectal cancer.Methods The clinical data of 206 cases of radical resection of colorectal cancer were retrospectively analyzed,who were treated in our hospital from February 2017 to January 2018.The traditional method cases(n=101)were recorded from February 2017 to July 2017,and the ERAS cases(n=105)were recorded from August 2017 to January 2018.The occurrence of postoperative complications,time of hospitalization and hospital expenses of the two groups of patients were compared.Results Compared with the traditional method group,the ERAS group presented decreased postoperative complications,shortened hospitalization time,and reduced hospitalization costs,the differences were statistically significant.Conclusion The clinical pathway of colorectal cancer guided by the concept of ERAS is safe and effective.It can conspicuously reduce patients’stress reaction during perioperative period,and accelerate their recovery.It's worthy of clinical popularization.
出处 《浙江临床医学》 2020年第7期1063-1064,共2页 Zhejiang Clinical Medical Journal
关键词 加速康复外科 结直肠癌 临床路径 Accelerated rehabilitation surgery Colorectal cancer Clinical pathway
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