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| 术前快速康复操对腹腔镜结直肠癌根治术后恢复的影响 |
| Effect of preoperative enhance recovery exercise on postoperative outcome in patients undergoing laparoscopic colorectal cancer surgery |
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| DOI：10.12089/jca.2021.02.002 |
| 中文关键词: 术前快速康复操 预康复 结直肠癌 加速康复外科 胃肠功能 |
| 英文关键词: Preoperative enhance recovery exercise Prehabilitation Colorectal cancer Enhanced recovery after surgery Gastrointestinal function |
| 基金项目:国家临床重点专科建设项目（财社〔2011〕170号）;重庆市医学重点学科项目（渝卫科教〔2007〕2号）；中央引导地方科技发展专项资金项目（X1-2417） |
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| 中文摘要: |
目的 观察术前进行快速康复操的锻炼对腹腔镜结直肠癌根治术患者术后恢复的影响。
方法 选择拟行腹腔镜下结直肠癌根治手术患者200例，男122例，女78例，年龄32～80岁，ASA Ⅰ—Ⅲ级。随机分为两组：康复操组与对照组，每组100例。康复操组在术前进行快速康复操的锻炼，对照组仍采用传统的术前干预方案。两组患者均采用静-吸复合全身麻醉。记录术后首次下床行走时间、胃肠功能恢复指标、患者满意情况、术后住院时间和术后并发症的发生情况。
结果 康复操组术后首次下床行走时间、首次肛门排气时间和首次进食流食时间均明显短于对照组（P<0.05）。康复操组患者满意度明显高于对照组，术后住院时间明显短于对照组（P<0.05）。康复操组术后肺部感染率及总体并发症发生率明显低于对照组（P<0.05）。
结论 术前进行快速康复操锻炼能够加速腹腔镜下结直肠癌根治术患者术后康复，是一种可供临床选择的预康复策略。 |
| 英文摘要: |
Objective To observe the effect of preoperative enhance recovery exercise on postoperative recovery in patients undergoing laparoscopic colorectal cancer surgery.
Methods A total of 200 patients scheduled for laparoscopic colorectal cancer surgery, 122 males and 78 females, aged 32-80 years, ASA physical status Ⅰ-Ⅲ, were randomly divided into enhance recovery exercise group and control group, with 100 patients in each. The enhance recovery exercise group were given preoperative enhance recovery exercise, while the control group received traditional intervention before the surgery. All patients underwent combined intravenous-inhalation anesthesia. The time of early mobilization, postoperative gastrointestinal function recovery indicators, the patients' satisfaction, the incidence of postoperative complications, and length of stay were recorded.
Results The time of first anal exhaust, first anal defecation, first feeding and first mobilization in the enhance recovery exercise group were significantly shorter than that in the control group (P < 0.05). The incidence of pulmonary infection and overall postoperative complications in the enhance recovery exercise group were significantly lower than that in the control group (P < 0.05). Compared with the control group, patients in the enhance recovery exercise group had a shorter length of stay and higher patient satisfaction (P < 0.05).
Conclusion Preoperative enhance recovery exercise could improve postoperative recovery in patients undergoing laparoscopic colorectal cancer surgery, which is a clinical feasible prehabilitation strategy. |
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