结直肠手术中肠道功能快速康复.docVIP

结直肠手术中肠道功能快速康复【摘要】 目的 探讨结直肠手术后肠道功能快速恢复的新措施、新理念。方法 将90 例结直肠择期手术患者随机分为快速康复组和对照组,分别用快速康复措施和传统方法进行围手术期的处理,比较两组患者的术后胃肠道功能恢复时间、术后并发症发生率等指标的差异。结果 与对照组相比,快速康复组患者术后恢复进程明显加快,术后并发症发生率降低。结论 围手术期的快速康复措施可明显加速结直肠手术后的肠道功能恢复,在结直肠手术中的应用效果显著。 【关键词】快速康复;肠道功能;结直肠手术 A new concept of rapid recovery in colorectal surgery YIN Fang,LI Huai-fu,CHEN Kai.Department of General Surgery,The Fiveth Affiliated Hospital,Sun Yet-sen University of Medical Sciences,Zhuhai 519000,China 【Abstract】 Objective To explore the bowel function after colorectal surgery fast recovery of new initiatives,new ideas.Methods 90 patients with elective colorectal operation were randomly divided into two group were treated with the rapid rehabilitation measures and the traditional methods of peri-operative period were compared in patients with postoperative gastrointestinal function recovery time,intraoperative The incidence of complications after such indicators as differences.Results Compared with the control group,patients recovered quickly after the recovery process has accelerated noticeably.Conclusion A series of peri-operative period of rapid postoperative rehabilitation measures can significantly speed up the recovery process,in colorectal surgery is safe and effective. 【Key words】Fast-track surgery;Bowel function;Colorectal surgery DOI:10.3760/cma.j.issn 1673-8799.2010.06.36 作者单位:519000中山大学附属第五医院 近年来通过对人体生理机能认识的进一步提高,对结直肠手术围手术期应用各项积极的措施以减轻围手术期患者的应激反应加速患者的术后康复。本研究旨在探讨这些措施在结直肠手术中对肠道功能快速恢复的有效性和安全性。 1 资料与方法 1.1 一般资料选择本院2008年10月至2009年10月因结直肠疾病需行择期手术的90例患者,病种包括结直肠癌、结肠外伤穿孔、结肠机械性梗阻。本组患者随机分为快速康复组45例和对照组45例。研究对象排除了需联合脏器切除的患者、超高龄80岁患者、伴随心肺疾病严重并发症者以及术前处于营养不良者。两组患者的一般资料差异无统计学意义:P 参考文献 [1] Hausel J,Nygren J,Lagerkranser M,et al.A carbohydrate-rich drink reduces preoperarive discomfort in elective surgery patients Anesth Analg,2001,93(5):1344-1347. [2] 韩继明,郑紫丹.磷酸钠盐清结肠道临床观察.中华消化外科杂志,2007,6(5):346-347. [3] Zmora O,Mahajna A,BarZakai B,et al.Is mechanical bowel preparation mandator