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岭南现代临床外科 ›› 2019, Vol. 19 ›› Issue (05): 552-554.DOI: 10.3969/j.issn.1009-976X.2019.05.010

• 论著与临床研究 • 上一篇    下一篇

ERAS理念对老年腹腔镜结肠癌术后高敏-C反应蛋白和前白蛋白的影响

谭明华1， 胡海涛1， 区小卫1， 廖建南1， 冯伟清1， 朱劲涛2   

  1. 佛山市禅城区中心医院 1.消化中心；2.乳腺医学部，广东佛山528000
  • 通讯作者: 谭明华

Effect of ERAS on Hs-CRP and PA in elderly patients after laparoscopic colon cancer surgery

TAN Minghua， HU Haitao， OU Xiaowei， LIAO Jiannan， FENG Weiqing， ZHU Jingtao   

  1. 1. Digestion Center； 2. Medical Department， Central Hospital of Chancheng District， Foshan， Guangdong 528000， China
  • Online:2019-10-20 Published:2019-10-20

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摘要： 目的 通过观察老年结肠癌患者术后高敏-C反应蛋白和前白蛋白水平，探讨ERAS理念对患者术后恢复的影响。方法 2016年12月至2018年12月本院收治老年结肠癌患者45例，其中接受加速康复外科治疗（试验组）22例，常规治疗（对照组）23例。比较两组患者术后肛门排气时间、排便时间、术后住院时间、手术前后高敏C-反应蛋白和前白蛋白、围手术期并发症等。结果 试验组患者术后排气时间、排便时间、术后住院时间均显著低于对照组（P均<0.05），试验组术后超敏C-反应蛋白水平均显著低于对照组（P<0.05），试验组术后第4天及第7天的前白蛋白水平显著高于对照组（P<0.05）。结论 ERAS理念能促进老年结肠癌术后恢复。

关键词: 结肠癌, 围手术期, ERAS, 超敏C-反应蛋白, 前白蛋白

Abstract: Objective To investigate the effect of ERAS on postoperative protein synthesis in elderly colon cancer patients and to investigate its effect on postoperative recovery. Methods 45 elderly colon cancer patients were admitted to our hospital from December 2016 to December 2018， including 22 cases receiving accelerated rehabilitation surgery （experimental group） and 23 cases receiving conventional treatment （control group）. Postoperative anal exhaust time， postoperative hospitalization time， total hospitalization cost， Hs-CRP and PA before and after operation， perioperative complications were compared between the two groups. Results The postoperative exhaust time， postoperative hospitalization time and total hospitalization cost of patients in the experimental group were significantly lower than those in the control group. The levels of Hs-CRP in the experimental group were significantly lower than those in the control group after surgery while PA were significantly higher in the experimental group than those in the control group after surgery. Conclusion ERAS can promote postoperative recovery of senile colon cancer patients.

Key words: perioperative period, ERAS, colon cancer, hypersensitive c-reactive protein, prealbumin

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