当前位置: 首页 > 医疗版 > 疾病专题 > 消化内科 > 肠道疾病 > 类癌及类癌综合征 > 结、直肠癌
编号:13486143
早期利尿联合加速康复外科理念对结、直肠癌患者术后恢复的影响(1)

     [摘要] 目的 探討早期使用利尿剂注射治疗联合加速康复外科(ERAS)对结、直肠癌择期手术后的影响。 方法 选取2017年1月~2018年12月山东省东营市东营区人民医院收治的214例接受结直、肠癌择期手术的患者,按随机数字表法将其分为干预组和对照组,每组各107例。干预组采用ERAS联合术后第1天和第2天给予静脉注射呋塞米10 mg,对照组单纯使用ERAS干预。比较两组患者术后住院时间、30 d内再入院率、排便时间、体重变化及并发症的发生率。 结果 两组患者术后住院时间、30 d内再入院率、体重变化比较,差异无统计学意义(P > 0.05);干预组术后排便时间长于对照组,差异有统计学意义(P < 0.05);两组患者术后急性肾功能损伤、低血钾、脓肿需要CT引流、伤口感染、重返手术、肠梗阻发生率比较,差异无统计学意义(P > 0.05)。 结论 早期使用呋塞米利尿联合ERAS不利于促进结、直肠癌患者术后恢复。

    [关键词] 利尿剂;加速康复外科;结肠癌;直肠癌

    [中图分类号] R735.3 [文献标识码] A [文章编号] 1673-7210(2020)04(b)-0098-04

    Effect of early diuretic combined with enhanced recovery after surgery on postoperative recovery of colon and rectal cancer patients

    MA Nan1 MA Shanxin2 LI Yan1 LIN Weishan2 TAO Guanglin2

    1.Department of General Surgery, Dongying District People′s Hospital, Shandong Province, Dongying 257000, China; 2.Department of Rehabilitation Medicine, the First Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China

    [Abstract] Objective To investigate the effect of early diuretic injection therapy combined with enhanced recovery after surgery (ERAS) on colon and rectal cancer after elective surgery. Methods A total of 214 patients who received elective surgery for colon and rectal cancer from January 2017 to December 2018 in Dongying District People′s Hospital of Dongying City in Shandong Province, were randomly divided into the intervention group and the control group according to the random number table method, with 107 patients in each group. The intervention group was treated with intravenous furosemide 10 mg on day 1 and day 2 after surgery and combined with ERAS, and the control group was treated with ERAS intervention alone. The hospital stay, readmission rate within 30 days, defecation time, weight change and incidence of complications were compared between the two groups after surgery. Results There was no statistically significant difference in length of hospital stay, readmission rate within 30 days, and weight change between the two groups after surgery (P > 0.05). Defecation time in the intervention group after surgery was significantly longer than that in the control group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference in the incidence of acute renal injury, hypokalemia, CT drainage needed for abscess, wound infection, reentry surgery, and intestinal obstruction between the two groups after surgery (P > 0.05). Conclusion Early use of furoxime diuretics combined with ERAS is not conducive to postoperative recovery of colon and rectal cancer patients.(马楠 马善新 李燕 林伟山 陶广林)
1 2 3 4下一页


    参见:首页 > 医疗版 > 疾病专题 > 消化内科 > 肠道疾病 > 类癌及类癌综合征 > 结、直肠癌     濞e洠鍓濇导鍛閸涱剛杩旈柛娆忓€介埀顒€鍠涚槐婵囩▔瀹ュ棛鈧垶骞嬮幇顏呭床濞达絾娲戠粻锝咁嚈妤︽鍞撮柕鍡曠劍鐢綊鎳¢幇顓炵仐闁圭ǹ娲ょ槐鈺呭Υ閸屾稒鐎紒鏃傚Х婢ф寮堕崘銊ф剑濞存粌楠哥敮顐︽媼濡炲墽绋婇柡澶婂暕濮瑰鏁嶅畝鍐仧闁诡喓鍔忛缁樼▔閻戞﹩鍔冮柡鍌氭矗缁楀鈧绮忛~锕傚绩鐠鸿櫣绉垮〒姘☉閵囧洨鈧娉涢崢銈囨嫻瑜版帗顫夐悹鍥︾串缁辨繄鎷犻悜钘変粡濞寸姾鍩栭崹銊╂偨娴e啰妯堥梺顐f皑閻擄繝骞嬮幋婊勭拨闁挎稑鏈崹婊勭椤掍焦鏆柛鎺嶅嵆閳ь剚姘ㄩ悡锟犲触鎼搭垳绀夊ù鍏兼皑閻濇盯宕¢崘鑼闁诡喓鍔庡▓鎴炴媴濠婂啯鎯傚ù鐘插濠€鎵磾閹寸姷褰查柛鎺斿█濞呭酣濡撮敓锟�

   鐎甸偊鍠曟穱濠囧棘閸モ晝褰�  闁稿繗娅曢弫鐐烘儌閻愵剙顎�  閻犲洤瀚鎴﹀礄閻樻彃缍�  闁瑰吋绮庨崒銊╁即閺夋埈妯�