中国肿瘤临床与康复

目的探讨老年结直肠癌患者腹腔镜手术中快速康复理念应用的价值。方法 2012年1月至2014年1月收治的50例老年结直肠癌患者,依据随机数字表法将分为快速康复组和对照组,每组25例。结果快速康复组患者的下地时间、排气时间、排便时间、饮水时间、住院时间均明显低于对照组(P<0.05),但两组患者的麻醉时间、手术时间、术中出血量、清扫淋巴结数目间的差异均无统计学差异(P>0.05)。快速康复组患者术后并发症发生率为8%(2/25),对照组为28%,差异有统计学意义(P<0.05)。结论老年结直肠癌患者腹腔镜手术中快速康复理念具有较高的应用价值。

Objective To investigate the applications value of rapid rehabilitation philosophy in laparoscopic surgery in the treatment of elderly patients with colorectal cancer. Methods The clinical data of 50 cases of elderly patients with colorectal cancer from January 2012 to January 2014 were statistically analyzed. Rapid rehabilitation philosophy group and control group has 25 patients,respectively. Results The ambulation time,exhaust time,defecation,drinking,hospitalization time of the rapid rehabilitation philosophy group were significantly shorter than the control group( P < 0. 05),but the differences of anesthesia time,operative time,blood loss,cleaning the number of lymph nodes between the two groups were not significant( P > 0. 05); The incidence rate of postoperative complications of the rapid rehabilitation group with8%( 2 /25) was significantly lower than the control group with 28%( 7 /25)( P < 0. 05). Conclusion Rapid rehabilitation philosophy in laparoscopic surgery has high application value in the treatment of elderly patients with colorectal cancer.