摘要
目的探讨快速康复外科理念对腹腔镜下胃癌根治术患者术后康复的影响。方法选择2018年5月~2019年6月深圳市龙岗中心医院收治的60例腹腔镜下胃癌根治术患者作为研究对象,采用随机抽签法分为试验组和对照组,每组各30例。对照组采用常规护理,试验组在对照组基础上实施快速康复外科理念干预。比较两组术后康复效果、住院时间、医疗费用、并发症总发生率、再住院率及生存率。结果试验组首次通便时间、胃管放置时间、肛门恢复排气时间短于对照组,差异有统计学意义(P<0.05);试验组住院时间短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05);术后6、12个月,试验组并发症总发生率、再住院率低于对照组,生存率高于对照组,差异有统计学意义(P<0.05)。结论快速康复外科理念应用于腹腔镜下胃癌根治术患者术后康复护理中,不仅可提高康复效果,减少医疗费用,还可对并发症的发生进行效预防,值得推广应用。
Objective To explore the effect of rapid rehabilitation surgery concept for postoperative rehabilitation in patients with laparoscopic radical gastrectomy.Methods A total of 60 patients with laparoscopic radical gastrectomy admitted to Shenzhen Longgang Central Hospital from May 2018 to June 2019 as the research objects,and divided into the experimental group and the control group according to the random lottery method,with 30 cases in each group.The control group was given routine nursing,and the experimental group was given rapid rehabilitation surgery concept intervention on the basis of the control group.The postoperative rehabilitation effect,hospitalization time,medical expenses,total incidence of complications,rehospitalization rate and survival rate were compared between the two groups.Results The first defecation time,gastric tube placement time and anal exhaust recovery time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The hospitalization time of the experimental group was shorter than that of the control group,and the hospitalization cost of the experimental group was lower than that of the control group,the differences were statistically significant(P<0.05).After 6 and 12 months of surgery,the incidence of complications and rehospitalization rate in the experimental group were lower than those in the control group,and the survival rate was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The application of rapid rehabilitation surgery concept in postoperative rehabilitation nursing of patients with laparoscopic radical gastrectomy for gastric cancer which can not only improve the rehabilitation effect,reduce medical expenses,but also effectively prevent the complications,which is worth promoting and applying.
作者
王宏伟
辛乐
汤明生
刘宇
阎玉矿
WANG Hong-wei;XIN Le;TANG Ming-sheng;LIU Yu;YAN Yu-kuang(Department of General Surgery,Shenzhen Longgang Central Hospital,Guangdong Province,Shenzhen518000,China)
出处
《中国当代医药》
CAS
2021年第14期103-106,共4页
China Modern Medicine
基金
广东省深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目(LGKCYLWS2018000038)。
关键词
快速康复外科理念
腹腔镜下胃癌根治术
康复效果
并发症发生率
Rapid rehabilitation surgery concept
Laparoscopic radical gastrectomy
Rehabilitation effect
Incidence of complications
