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目的:研究微创腹腔镜联合快速康复技术对直肠癌患者术后恢复进程、应激反应的影响。方法:选取我院2013年3月至2016年3月84例直肠癌患者为研究对象,将纳入患者抽签随机分为快速康复组和常规护理组,每组42例。所有患者均接受微创腹腔镜手术,常规护理组术后给予常规护理,快速康复组术后在常规护理基础上给予快速康复技术。比较两组的术后恢复情况与应激指标。结果:快速康复组的首次排气时间、住院时间、C反应蛋白(CRP)、外周血血糖(BG)分别为(3.04±1.36)d、(8.15±2.38)d、(23.25±5.34)mg/L、(4.59±1.34)mmol/L显著短于或低于常规护理组的(4.35±1.73)d、(12.59±3.76)d、(31.18±7.83)mg/L、(5.86±1.73)mmol/L(P<0.05)。结论:微创腹腔镜联合快速康复技术可以减少直肠癌患者术后应激反应,加快康复进程。
Objective: To study the effect of minimally invasive laparoscopic combined with rapid rehabilitation on postoperative recovery and stress response in patients with rectal cancer. Methods: A total of 84 patients with rectal cancer from March 2013 to March 2016 in our hospital were enrolled in this study. Randomly divided patients were enrolled into fast-rehab group and routine care group, with 42 patients in each group. All patients underwent minimally invasive laparoscopic surgery. Conventional nursing group was given routine care postoperatively, and rapid rehabilitation group was given rapid rehabilitation on the basis of routine nursing. The postoperative recovery and stress index were compared between the two groups. Results: The first extubation time, hospital stay time, C reactive protein (CRP) and peripheral blood glucose (BG) were (3.04 ± 1.36) d, (8.15 ± 2.38) d and (23.25 ± 5.34) mg / L, (4.59 ± 1.34) mmol / L was significantly shorter or lower than that of the control group (4.35 ± 1.73 d, 12.59 ± 3.76 d, 31.18 ± 7.83 mg / L and 5.86 ± 1.73 mmol / L (P <0.05). Conclusion: Minimally invasive laparoscopic combined with rapid rehabilitation can reduce the postoperative stress response in patients with rectal cancer and speed up the recovery process.