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| The clinical effect of fast track surgery concept on gastrointestinal function recovery after colon cancer resection |
| LI Jing1 YIN Hongzhuan2▲ |
1.Colorectal Tumor, Anal Disease Ward, Shengjing Hospital of China Medical University, Liaoning Province, Shenyang 110004, China;
2.Eighth General Surgery of Colorectal and Anal Diseases, Shengjing Hospital of China Medical University, Liaoning Province, Shenyang 110004, China |
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Abstract Objective To explore the application effect of fast-track surgery (FTS) concept in gastrointestinal function recovery after colon cancer resection. Methods A total of 99 patients who underwent colon cancer resection from May 2016 to February 2018 in Shengjing Hospital of China Medical University were selected as study subjects. Patients were randomly divided into control group (n = 49) and research group (n = 50) according to the random number table method. Patients in the control group were treated with routine perioperative management, and patients in the study group were treated with FTS nursing intervention on this basis. Clinical indexes and gastrointestinal function were compared between the two groups. Serum levels of interleukin-6 (IL-6), C-reactive protein (CRP) and serum amyloid protein A (SAA) were compared between the two groups before surgery, 3 days after surgery and 7 days after surgery. The postoperative complications of the two groups were observed. Results Hospitalization time, first anal exhaust time, first defecation time and recovery time of normal diet in the study group were all shorter than those of the control group, the differences were statistically significant (P ＜ 0.05). However, there was no significant difference in intraoperative blood loss and operation time between the two groups (P ＞ 0.05). 3, 7 days after surgery, IL-6, CRP and SAA levels of the two groups were higher than those before surgery, and IL-6, CRP and SAA levels at 7 days after surgery were lower than those 3 days after surgery. IL-6, CRP and SAA levels at 7 days after surgery were all lower than 3 days after surgery (P ＜ 0.05). IL-6, CRP and SAA levels of the study group were lower than those of the control group 3, 7 days after surgery (P ＜ 0.05). The incidence of postoperative complications in the study group was 10.00% (5/50), which was significantly lower than 30.61% (15/49) in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion After colon cancer resection, FTS nursing intervention can significantly improve clinical indicators, promote the recovery of gastrointestinal function, and effectively improve patients′ inflammatory response, reduce the incidence of complications, which has certain clinical application value.
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