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目的常规的康复治疗和快速康复外科治疗对胃癌的影响。方法 66例胃癌患者都选择接受胃癌的根治,全胃切除术,其中有33例进行了术后的快速康复治疗(实验组),而剩下的33例做了常规的康复治疗(对照组)。相对比两组的患者术后排气、住院时间、费用、并发症发病率和围术期C蛋白反应以及IL-6水平的相同和不同之处。结果实验组通过快速康复治疗后第一次排期时间是(3.1±0.7)d,对照组为(3.8±1.0)d;实验组术后住院时间为(7.9±0.6)d,对照组为(10.8±0.8)d;住院费用,实验组为(40 380±190)元,对照组为(42760±300)元。手术之前两组患者差异有统计学意义(P<0.01),C反应蛋白和IL-6的平均水平不是很明显,但在术后的第3天,对照组相对于实验组明显较高(P<0.01)。结论经过实验组和对照组的治疗对比,能够发现快速康复治疗没有不良反应并增加了患者术后康复的速度,值得临床应用和推广。
Objective The effect of routine rehabilitation and rapid rehabilitation surgery on gastric cancer. Methods Sixty-six patients with gastric cancer underwent radical gastrectomy and total gastrectomy. Among them, 33 patients underwent rapid rehabilitation (experimental group), while the remaining 33 patients underwent routine rehabilitation (control group) . Relative to the same and different postoperative exhaust, hospital stay, cost, morbidity and perioperative protein C response, and IL-6 levels in both groups. Results The first time of discharge after fast rehabilitation was (3.1 ± 0.7) days in experimental group and (3.8 ± 1.0) days in control group. The postoperative hospital stay was (7.9 ± 0.6) days in experimental group and ( 10.8 ± 0.8) d. The cost of hospitalization was (40 380 ± 190) yuan in the experimental group and (42760 ± 300) yuan in the control group. The difference between the two groups before surgery was statistically significant (P <0.01). The mean levels of C-reactive protein and IL-6 were not significant, but on the third postoperative day, the control group was significantly higher than the experimental group <0.01). Conclusion After comparing the experimental group and the control group, we can find that there is no adverse reaction and rapid recovery after operation, which is worthy of clinical application and promotion.