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The Clinical Application Of The Concept Of Enhanced Recovery After Surgery In The Perioperative Period Of Colorectal Cancer

Posted on:2022-08-12Degree:MasterType:Thesis
Country:ChinaCandidate:Z Y LiaoFull Text:PDF
GTID:2504306347472484Subject:Clinical Medicine
Abstract/Summary:PDF Full Text Request
Objective: To explore the safety of clinical application of enhanced recovery after surgery in the perioperative period of colorectal cancerMethods: The ethics review committee of Loudi Central Hospital was approved,and all patients signed an informed consent form.According to the inclusion and exclusion criteria,a total of 60 patients with colorectal cancer who were hospitalized in the Oncology Surgery Department of Loudi Central Hospital from December 2019 to December2020 and planned to undergo laparoscopic radical resection of colorectal cancer were selected as the research objects.50 cases were enrolled,including 23 male patients and 27 female patients,and were randomly divided into two groups using a random number table method.Among them,the group managed under the concept of enhanced recovery after surgery was set as the experimental group(n=25),and the group managed under the traditional mode was set as the control group(n=25).By observing the first postoperative anal exhaust time,hospitalization time,aspiration,anastomotic leakage,incision infection,intestinal obstruction,lung infection,nausea and vomiting,urinary retention,pain score,etc.,to evaluate the rapid recovery surgical concept The safety of the clinical application of colorectal cancer in the perioperative period provides a clinical basis for the promotion and application of the concept of enhanced recovery after surgery in the perioperative period of colorectal cancer.Results: 1.There was no statistical difference between the experimental group and the control group in general data such as gender,age,BMI and tumor location(P>0.05).2.The time of first air exhaust and postoperative hospital stay in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).3.The incidence of adverse reactions and complications within 30 days after operation in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).4.The pain scores of the experimental group were lower than those of the control group at 6h,the first day,the second day,and the third day after operation,and the difference was statistically significant(P<0.05).Conclusion: It is a safer and feasible solution to apply the concept of rapid rehabilitation surgery in the perioperative period of colorectal cancer.
Keywords/Search Tags:enhanced recovery after surgery, colorectal cancer, perioperative period
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