快速康复外科理念联合心理辅导在结肠癌根治术中的应用

The application of rapid rehabilitation surgery combined with psychological guidance in radical resection of colon cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(3)
作者
作者单位

中国医科大学肿瘤医院/辽宁省肿瘤医院大肠外科 ;
中国医科大学肿瘤医院/辽宁省肿瘤医院护理部 ;

摘要
摘要目的:探讨快速康复外科(FTS)联合心理辅导在结肠癌根治术中的应用效果。方法前瞻性收集2012年6月到2014年6月于我院大肠外科治疗的102例结肠癌患者为研究对象,采用随机分组法将患者分为2组,将快速康复理念应用于研究组,同时给予心理辅导,对照组给予常规康复方案,每组51例患者。比较两组患者术中情况、术后恢复情况及术后并发症发生情况。结果与对照组相比,研究组患者的首次肛门排气时间、开始进食与手术结束的间隔时间、切口愈合时间及住院总天数均显著较短,且差异明显(P<0.05);术后研究组的CRP值显著低于对照组(t=2.134,P=0.035),IL-6值显著低于对照组(t=4.935,P=0.000),WBC值也显著低于对照组(t=8.540,P=0.000);研究组患者的术后出现切口或肺部感染,咽痛,恶心、呕吐及腹胀的病例数均较对照组少,且总的并发症发生率为27.45%,显著低于对照组的62.75%,且差异有统计学意义(X2=12.830,P=0.000)。结论快速康复外科(FTS)联合心理辅导可以减轻患者围手术期应激反应,促进结肠癌患者的术后康复,提高患者的治疗自信和生活质量。
Abstract
Abstract Objective: To investigate the effect of fast track surgery (FTS) combined with psychological counseling in radical resection of colon cancer. Methods From June 2012 to June 2014, 102 cases of colon cancer patients prospectively collected in gastrointestinal surgery in our hospital as the research objects, and they were divided into 2 groups. The study group received rapid rehabilitation treatment combined with psychological counseling, while the control group were treated with routine rehabilitation program, and each group has 51 cases. The intraoperative situation, postoperative recovery and postoperative complications were compared between the two groups. Results The anal exhaust time, the time from started eating to operation ending, postoperative hospital stay and wound healing time of the study group were significantly shorter than the control group, and has statistical significance (P<0.05); the level of CRP after operation of the study group was significantly lower than the control group (t=2.134, P=0.035), IL-6 level was significantly lower than the control group (t=4.935 P=0.000, WBC), and was also significantly lower than that of the control group (t=8.540, P=0.000); incision or pulmonary infection, sore throat appeared in patients of the study group after operation, the number of cases of nausea and vomiting and abdominal distension was less than the control group, and the total complication rate was 27.45%, significantly lower than 62.75% in the control group(X2=12.830, P=0.000). Conclusion Fast track surgery (FTS) combined with psychological counseling can reduce perioperative stress response, promote postoperative rehabilitation and improve the quality of life of patients with colon cancer.
关键词
关键词:结肠癌根治术;围手术期;快速康复外科理念;心理辅导
KeyWord
Key words: fast track surgery; psychological counseling; radical resection of colon cancer; perioperative period
基金项目
页码 571-574
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王丽丽,姜桂春*,李辉,李晓光. 快速康复外科理念联合心理辅导在结肠癌根治术中的应用 [J]. 国际精神病学杂志. 2019; 46; (3). 571 - 574.

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