| 郑春辉.快速康复外科对老年胸腔镜肺癌根治术患者术后康复及生活质量的影响[J].浙江中西医结合杂志,2019,29(8): |
| 快速康复外科对老年胸腔镜肺癌根治术患者术后康复及生活质量的影响 |
| Effect of fast track surgery on postoperative rehabilitation and quality of life in elderly patients undergoing video-assisted thoracoscopic lung cancer resection |
| 投稿时间：2018-04-04 修订日期：2019-03-28 |
| DOI： |
| 中文关键词: 快速康复外科 老年 胸腔镜肺癌根治术 术后康复 生活质量 |
| 英文关键词:fast track surgery elderly laparoscopic radical resection of lung cancer postoperative rehabilitation quality of life. |
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| 中文摘要: |
| 目的：探讨分析快速康复外科对老年胸腔镜肺癌根治术患者术后康复及生活质量的影响。方法：随机选取我院按常规围术期处理方案和快速康复理念治疗的老年胸腔镜肺癌根治术患者各43例，分为观察组和对照组。对比分析两组患者术后康复指标、疼痛情况、并发症发生率以及随访3个月后生活质量。结果：观察组患者胸管留置时间、肛门排气时间以及术后住院时间均显著短于对照组（P<0.05）。术后3d以及术后7d，观察组患者VAS疼痛评分显著低于对照组（P<0.05）。观察组患者术后呼吸系统并发症发生率明显低于对照组（P<0.05）。两组患者术后3个月的生活质量评分均高于术前，对照组的术后3个月生活质量评分显著高于对照组（P<0.05）。结论：快速康复外科可有效促进老年胸腔镜肺癌根治术患者术后康复，降低术后并发症发生率，减轻术后疼痛，提高生活质量，值得临床推广。 |
| 英文摘要: |
| [Abstract] Objective:Objective to explore the effect of fast track surgery on postoperative rehabilitation and quality of life in elderly patients undergoing laparoscopic radical resection of lung cancer. Methods: 86 cases of elderly patients with laparoscopic radical resection of lung cancer were randomly divided into observation group and control group, 43 cases in each group. The control group was treated with routine perioperative treatment, and the observation group was treated with the concept of rapid rehabilitation surgery. The rehabilitation index, pain condition, complication rate and quality of life in two groups were compared and analyzed after 3 months follow-up. Results: The time of chest tube indwelling, anal exhaust time and postoperative hospitalization time in the observation group were significantly shorter than those in the control group (P<0.05). Postoperative 3d and postoperative 7d, the VAS pain score of the observation group was significantly lower than that of the control group (P<0.05).The incidence of postoperative respiratory complications in the observation group was significantly lower than that in the control group (P<0.05). The scores of each dimension of the two groups in the two groups were significantly higher than those before the operation (P<0.05), and the scores of each dimension in the observation group were significantly higher than those of the control group after 3 months of operation(P<0.05) .Conclusion: Rapid rehabilitation surgery can effectively promote postoperative rehabilitation, reduce the incidence of postoperative complications, reduce postoperative pain, and can effectively improve the short-term quality of life after the operation, which is worthy of clinical promotion. |
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