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find Keyword "快速康复流程" 4 results
  • 早期经口进普食在直肠癌术后快速康复流程模式中的应用

    目的 探讨早期经口进普食在直肠癌术后快速康复流程模中的应用的可行性、安全性。 方法 将2010 年6月-12月收治的行直肠癌全直肠系膜切除术(TME)前切除结肠-直肠吻合或直肠癌TME超低位前切除结肠-肛管吻合术的分为两组,54例早期进普食为观察组,67例进传统进食为对照组,比较两组术后首次排气、排便时间、医药费用,以及肠梗阻、重度腹泻、肺部感染、伤口感染、吻合口漏等并发症的发生率。 结果 从术后康复指标看, 观察组术后首次排气时间早于对照组、首次排便时间晚于对照组(P<0.05),且术后住院时间也更短、住院总费用更少(P<0.05)。从术后并发症的发生率看,肺部感染、吻合口漏和伤口裂开的发生率均较对照组发生率低(P<0.05);重度腹泻、吻合口出血、肠梗阻差异无统计学意义(P>0.05)。 结论 早期进普食策略在直肠癌患者的术后康复中效果良好, 能促进其术后早期康复。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • The Fast-Track Programmes of Multi-Disciplinary Treatment in Colorectal Surgery

    Objective To explore the concept, contents and existing problems of the fast-track programmes in colorectal surgery. Methods The literatures about the applied status and opinion of the modality applied in the surgical treatment of the colorectal cancer and fundament investigation in recent years were collected and reviewed. Results The fast-track programmes enhance recovery of the patients who underwent the colorectal resection with the combination of multimodal techniques and approaches. Conclusion The fast-track programmes in colorectal surgery is the typical modality of the multi-disciplinary treatment, this modality can decrease the complications and reduce the hospital stay with preserve the well physiological fundament of the patients.

    Release date:2016-09-08 11:49 Export PDF Favorites Scan
  • Reasons for Delayed Discharge after Total Knee Arthroplasty under Fast-track Recovery Model

    Objective To illustrate the situation of delayed discharge of patients after total knee arthroplasty (TKA) under fast-track (FT) recovery model, and analyze the reasons. Methods We retrospectively analyzed the clinical data of 152 patients who accepted perioperative management under fast-track model from January to December 2014. The reasons for discharging over 72 hours after hospitalization were analyzed. Results Among the 152 patients, 119 were discharged over 72 hours after surgery, and the rate was 78.2%. The main reasons for delayed discharge were pain (32.8%), limited range of motion (31.9%) and unwillingness to be discharged (27.7%), respectively. Conclusion For patients who have undergone TKA, FT model can shorten hospital stay, save expenses, and accelerate postoperative rehabilitation, but there is still much room for improvement.

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  • 快速康复流程对老年直肠癌患者免疫功能的影响

    目的 比较快速康复流程(ERAS)与常规处理方法对老年直肠癌患者行经腹会阴联合切除术(abdominoperineal resection,APR)后免疫功能和炎症反应的影响。 方法 前瞻性收集 2014 年 1 月至 2015 年 12 月期间山东省济宁市第一人民医院肛肠外科收治的老年直肠癌患者 116 例,随机分为 ERAS 组与传统治疗组,各 58 例,比较 2 组患者的临床效果,并比较 2 组患者手术前后炎症反应指标、T 细胞亚群及体液免疫指标的差异。 结果 ① 与传统治疗组比较:ERAS 组患者的术后开始进食时间、首次排气时间、首次排便时间及术后住院时间短,术后住院费用少,围手术期恶心呕吐发生率和切口感染率均较低(P<0.05)。② 炎症反应指标:术后 3 d 和 6 d 时,同时点 ERAS 组患者的 C 反应蛋白(CRP)水平均较传统治疗组低(P<0.001);术后 1、3 和 6 d 时,同时点 ERAS 组患者的血清淀粉样蛋白 A(serum amyloid A protein,SAA)和白细胞介素-6(IL-6)水平均较传统治疗组低(P<0.001)。③ T 细胞亚群:术后 1、3 和 6 d 时,同时点 ERAS 组患者的 CD3+ 细胞比例、CD4+ 细胞比例及 CD4+/CD8+ 细胞比值均较传统治疗组高(P<0.05)。④ 体液免疫指标:术后 3 d 时,ERAS 组患者的 IgA 水平较传统治疗组高(P<0.001);术后 1、3 及 6 d 时,ERAS 组患者的 IgG 和 C3 水平均较传统治疗组高(P<0.05)。 结论 ERAS 对老年直肠癌 APR 后免疫功能的影响较传统治疗小,能够降低手术后的应激反应,促进术后细胞免疫功能和体液免疫功能的恢复,减少术后并发症的发生,值得临床推广应用。

    Release date:2017-09-18 04:11 Export PDF Favorites Scan
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