快速康复外科理念在腹腔镜直肠癌麻醉管理中的应用效果(1)
[摘要]目的 探討快速康复外科理念在腹腔镜直肠癌麻醉管理中的应用效果。方法 选取我院2015年1月～2016年6月行全麻腹腔镜直肠癌根治手术的94例患者为研究对象，随机将其分为康复组(47例)与对照组(47例)。康复组患者进行快速康复外科理念指导的麻醉处理措施，对照组患者进行常规麻醉处理措施。比较术后两组患者麻醉苏醒情况、并发症发生率及血清CRP水平。结果 康复组术后苏醒时间、拔管时间、肛门排气排便时间均短于对照组，差异有统计学意义(P<0.01)，康复组患者的VAS疼痛评分、术后及术后第1天血清CRP水平均低于对照组，差异有统计学意义(P<0.01)，康复组并发症发生率(8.51%)低于对照组(25.53%)，差异有统计学意义(P<0.05)。结论 快速康复理念在腹腔镜直肠癌麻醉管理中应用安全有效，使患者术后苏醒早、拔管快，减少了患者应激反应的产生及并发症的发生，临床应用价值高，值得推广应用。
[关键词]快速康复外科；腹腔镜；直肠癌；麻醉管理
[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-4721(2017)10(c)-0061-03
Application effect of rapid rehabilitation surgery concept in anesthesia management of laparoscopic rectal cancer
WU Zhi-guo
Department of Anesthesiology，Pingxiang People′s Hospital in Jiangxi Province，Pingxiang 337055，China
[Abstract]Objective To investigate the application effect of rapid rehabilitation surgery concept in the anesthesia management of laparoscopic rectal cancer.Methods A total of 94 patients with laparoscopic radical rectal cancer under general anesthesia who treated in our hospital from January 2015 to June 2016 were selected as the study subjects.The patients were randomly divided into rehabilitation group (47 cases) and control group (47 cases).Rehabilitation group was given anesthesia measures guided by rapid rehabilitation surgery concept，and the control group was given conventional anesthesia measures.Anesthesia recovery，incidence rate of complications and the level of serum CRP were compared between the two groups after surgery.Results The postoperative recovery time，extubation time and anal exhaust and defecation time in the rehabilitation group were shorter than those in the control group，the differences were statistically significant (P<0.01).The VAS pain score and the levels of serum CRP after surgery and on the first day after surgery in the rehabilitation group were lower than those in the control group，the differences were statistically significant (P<0.01).The incidence rate of complications in the rehabilitation group (8.51%) was lower than that in the control group (25.53%)，the difference was statistically significant (P<0.05).Conclusion The concept of rapid rehabilitation is safe and effective in the anesthesia management of laparoscopic rectal cancer surgery，so that patients are able to wake early after surgery and extubation is faster.The incidence of stress response and the incidence rate of complications are reduced.The clinical application value is high，and it is worthy of popularization and application., 百拇医药(巫志国)
[关键词]快速康复外科；腹腔镜；直肠癌；麻醉管理
[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-4721(2017)10(c)-0061-03
Application effect of rapid rehabilitation surgery concept in anesthesia management of laparoscopic rectal cancer
WU Zhi-guo
Department of Anesthesiology，Pingxiang People′s Hospital in Jiangxi Province，Pingxiang 337055，China
[Abstract]Objective To investigate the application effect of rapid rehabilitation surgery concept in the anesthesia management of laparoscopic rectal cancer.Methods A total of 94 patients with laparoscopic radical rectal cancer under general anesthesia who treated in our hospital from January 2015 to June 2016 were selected as the study subjects.The patients were randomly divided into rehabilitation group (47 cases) and control group (47 cases).Rehabilitation group was given anesthesia measures guided by rapid rehabilitation surgery concept，and the control group was given conventional anesthesia measures.Anesthesia recovery，incidence rate of complications and the level of serum CRP were compared between the two groups after surgery.Results The postoperative recovery time，extubation time and anal exhaust and defecation time in the rehabilitation group were shorter than those in the control group，the differences were statistically significant (P<0.01).The VAS pain score and the levels of serum CRP after surgery and on the first day after surgery in the rehabilitation group were lower than those in the control group，the differences were statistically significant (P<0.01).The incidence rate of complications in the rehabilitation group (8.51%) was lower than that in the control group (25.53%)，the difference was statistically significant (P<0.05).Conclusion The concept of rapid rehabilitation is safe and effective in the anesthesia management of laparoscopic rectal cancer surgery，so that patients are able to wake early after surgery and extubation is faster.The incidence of stress response and the incidence rate of complications are reduced.The clinical application value is high，and it is worthy of popularization and application., 百拇医药(巫志国)