快速康复在肺癌手术患者中的临床效果

徐艺1 ，王霄艳2

（韩城市人民医院：1.肿瘤科；2.耳鼻喉科，陕西 渭南，715400）

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摘要：

目的 观察快速康复在肺癌手术患者中的临床应用效果。方法 将择我院2014年4月至2016年4月收治的106例肺癌手术患者随机分对照组（53例）和观察组（53例），对照组给予常规处理措施，观察组在此基础上给予快速康复处理措施，对比两组患者的术后恢复相关指标和并发症发生情况。结果 两组患者的性别、年龄、手术切除方式、肿瘤分期及病理类型比较，差异无统计学意义（P>0.05）。与对照组比较，观察组患者术后疼痛评分更低，术后首次进半流质时间、首次肛门排气时 间、首次排便时间、术后住院时间明显更短（P<0.05）。观察组并发症总发生率为9.43%（5/53），明显低于对照组的33.96%（17/ 53）（P<0.05）。结论 快速康复应用于肺癌手术患者的临床治疗中，有助于减轻患者疼痛，缩短住院时间，并减少并发症，对于促进患者术后康复具有积极作用。

关键词：快速康复；肺癌；术后疼痛评分；住院时间；并发症

中图分类号：R734.2文献标志码：A文章编号：2096-1413(2017)28-0178-02

Clinical effect of rapid rehabilitation in patients with lung cancer surgery
XU Yi 1, WANG Xiao-yan 2
(1. Department of Oncology; 2. Department of Ear Nose and Throat, Hancheng People``s Hospital, Weinan 715400, China)

ABSTRACT: Objective To observe the clinical application effect of rapid rehabilitation in patients with lung cancer surgery. Methods One hundred and six cases of patients with lung cancer surgery in our hospital from April 2014 to April 2016 were enrolled and randomly divided into observation group (53 cases) and control group (53 cases). The control group was given conventional treatment measures, on this basis, the observation group was given rapid rehabilitation treatment measures. The postoperative recovery indexes and the complication between the two groups were compared. Results There were no significant differences in the gender, age, surgical resection, tumor stage and pathological type between the two groups (P>0.05). Compared with the control group, the observation group had lower postoperative pain score, and shorter time of first into the semi-liquid, first anal exhaust, first defecation and postoperative hospital stay (P<0.05). The overall incidence of complications in the observation group was 9.43% (5/53), which was significantly lower than 33.96% (17/53) in the control group (P<0.05). Conclusion Rapid rehabilitation applied in patients with lung cancer surgery can help to reduce the pain, shorten the hospital stay and reduce the incidence of complications, which has a positive effect on the postoperative rehabilitation of patients.
KEYWORDS: rapid rehabilitation; lung cancer; postoperative pain score; hospital stay; complications

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