【摘要】 目的探讨"免管免禁"在食管癌根治围术期中的临床价值。方法将我院收治的180例食管癌根治术患者随机分为试验组(n=98)和对照组(n=82)。试验组采用"免管免禁"模式,对照组采用传统模式。比较两组患者的治疗效果。结果试验组PCT及CRP水平低于对照组(P<0.05)。试验组术后首次下床时间、首次排气时间、排便时间、首次进流食时间及平均住院时间均短于对照组(P<0.05)。试验组术后肺部感染及血栓形成发生率、并发症总发生率、平均住院费用均低于对照组(P<0.05)。结论 "免管免禁"应用于食管癌根治术可减少术中应激反应,促进胃肠功能恢复,减少术后并发症,缩短患者住院时间,节约住院费用,值得临床推广。更多还原

【Abstract】 Objective To investigate the clinical application of "non-tube and non-fasting" on perioperative period of radical surgery in esophageal cancer.Methods A total of 180 cases of patients with esophageal cancer treated with radical surgery in our hospital were randomly divided into experimental group(n=98) and control group(n=82). The experimental group adopted "non-tube and non-fasting" model, the control group used conventional model. The treatment effects of the two groups were compared.Results The levels of PCT and CRP in the experimental group were lower than those in the control group(P<0.05).The first-time bed-out time, first-time discharge time, defecation time, first-time intake of fluids and average hospital stay in the experimental group were shorter than those in the control group(P<0.05). The incidences of postoperative pulmonary infection and thrombosis, total incidence of complications and average hospitalization cost in the experimental group were lower than those in the control group(P<0.05).Conclusion "Non-tube and non-fasting" applied in esophageal cancer radical surgery can decrease intraoperative stress response, promote gastrointestinal function recovery, reduce postoperative complications, shorten hospital stay and cut down the cost of hospitalization, it is worth clinical promotion.更多还原