本文選題：快速康復(fù)外科 + 圍手術(shù)期　； 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:評估快速康復(fù)外科在腹腔鏡結(jié)直腸癌手術(shù)中應(yīng)用的效果。方法:根據(jù)圍手術(shù)期的處理方法,161例結(jié)直腸癌患者分別應(yīng)用快速康復(fù)外科方法和傳統(tǒng)治療方法來處理,對比兩組患者的術(shù)后第1、2、3天疼痛評分,術(shù)后第1、2、3天的生活自理能力,排便時間,總住院天數(shù),術(shù)后住院天數(shù),再入院率,并發(fā)癥發(fā)生率,總住院費用和C反應(yīng)蛋白(CRP)。結(jié)果:快速康復(fù)外科組與傳統(tǒng)組對比,術(shù)后排便天數(shù)提前(p0.05),術(shù)后第3天生活自理能力提高(p0.05),總住院費用減少(p0.05),術(shù)后第1、2天生活自理能力、術(shù)后第1、2、3天疼痛評分、總住院天數(shù)、術(shù)后住院天數(shù)、CRP、再入院率、并發(fā)癥發(fā)生率等無明顯差別(p0.05)。結(jié)論:快速康復(fù)外科在腹腔鏡結(jié)直腸癌手術(shù)中的應(yīng)用可促進(jìn)腸道功能恢復(fù)、提高術(shù)后生活自理能力、減少住院費用,沒有增加術(shù)后并發(fā)癥發(fā)生率及再入院率。
[Abstract]:Objective: to evaluate the effect of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery. Methods: according to the perioperative management, 161 patients with colorectal cancer were treated by rapid rehabilitation surgery and traditional treatment respectively. The pain scores of the first 2 days after operation and the ability of self-care on the 1st and 2nd day after operation were compared between the two groups. Defecation time, total hospital stay, postoperative hospital stay, readmission rate, incidence of complications, total hospitalization expenses and C-reactive protein (CRP). Results: compared with the traditional group, the postoperative defecation days in the rapid rehabilitation surgery group were improved in advance (p0.05), the self-care ability of the patients was improved on the third day after operation, the total cost of hospitalization was reduced, the ability of living self-care was reduced on the 12th day after operation, the pain score of the 1st day was 2days after operation, and the total number of days in hospital was also increased. No significant difference was found in the days of hospitalization, readmission rate, complication rate and so on. Conclusion: the application of rapid rehabilitation surgery in laparoscopic colorectal cancer surgery can promote the recovery of intestinal function, improve the ability of self-care, reduce the cost of hospitalization, and do not increase the incidence of postoperative complications and readmission rate.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R735.34

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 成燕;童鶯歌;劉敏君;田素明;Alex H.Konstantatos;Dana Boyd;;術(shù)后活動性疼痛護(hù)理評估對疼痛管理質(zhì)量的影響[J];中華護(hù)理雜志;2015年08期

2 江志偉;李寧;;結(jié)直腸手術(shù)應(yīng)用加速康復(fù)外科中國專家共識(2015版)[J];中國實用外科雜志;2015年08期

3 顧慧琴;馮志仙;章梅云;徐紅;沈麗娜;邵樂文;邵榮雅;趙雪紅;黃麗華;;根據(jù)患者病情嚴(yán)重度及生活自理能力計算護(hù)理工作量[J];中華護(hù)理雜志;2013年03期

4 徐海英;沈偉;;擇期手術(shù)患者縮短術(shù)前禁食禁飲時間的研究[J];護(hù)士進(jìn)修雜志;2010年02期

5 李艷華;程黎陽;謝正勇;王弘;;快速康復(fù)外科新理念在結(jié)直腸手術(shù)中的應(yīng)用[J];中國現(xiàn)代普通外科進(jìn)展;2009年05期

6 劉春遠(yuǎn);王海波;;快速康復(fù)外科在結(jié)直腸手術(shù)的應(yīng)用[J];福建醫(yī)科大學(xué)學(xué)報;2007年03期

7 池畔;林惠銘;徐宗斌;;腹腔鏡與開腹結(jié)直腸癌根治術(shù)圍手術(shù)期并發(fā)癥發(fā)生率比較[J];中華胃腸外科雜志;2006年03期

8 ;日常生活活動(ADL)量表(Barthel指數(shù))[J];中國微侵襲神經(jīng)外科雜志;2004年04期

，

本文編號：1892053