早期进食促进腹腔镜结直肠癌切除术患者术后恢复的效果观察

摘要

Objective To investigate the effect of early feeding on postoperative recovery of laparoscopic resection of colorectal cancer. Method A total of 118 patients who had undergone laparoscopic colorectal resection were enrolled and divided into early feeding group and conventional feeding group according to whether early postoperative feeding was adopted, with 59 cases in each team. The postoperative recovery, nutritional status and complications were observed and compared between the two groups. Results No significant difference was detected in prealbumin and albumin levels before surgery between the two groups (P>0.05). The postoperative levels of prealbumin and albumin in the two groups were improved, and the improvement of the early feeding group was significantly greater than that of the conventional feeding group (P<0.05). When Compared with conventional feeding group, in early feeding group, the first exhaust time and the first defecation time after surgery were short, the hospitalization expense was low, and the differences were statis-tically significant (P<0.05);There was no significant difference found in hospitalization time between the two groups (P>0.05). No serious complications were observed in both groups (P>0.05). Conclusion It is safe and effective for early feeding after laparoscopic resection of colorectal cancer, which can improve the postoperative nutritional status and lead to rapid recovery. It is worthy of wide application in clinical practice.%目的 探讨早期进食促进腹腔镜结直肠癌切除术患者术后恢复的效果.方法 选取经腹腔镜结直肠癌切除术的患者118例,按照是否采用早期进食分为早期进食组和传统进食组,每组各59例.观察并对比两组患者术后恢复情况、营养状况及并发症发生情况.结果 两组患者术前前白蛋白、白蛋白水平比较,差异无统计学意义(P﹥0.05);术后两组患者前白蛋白、白蛋白水平均有所改善,早期进食组高于传统进食组(P﹤0.05);与传统进食组相比,早期进食组术后首次排气时间、首次排便时间短,住院费用低,差异有统计学意义(P﹤0.05);两组患者住院时间比较,差异无统计学意义(P﹥0.05):两组患者均未出现严重并发症(P﹥0.05).结论 经腹腔镜结直肠癌切除术后早期进食安全有效,能改善患者术后营养状态,快速康复,临床上值得更广泛推广应用.