Objective To investigate the application effect of accelerated rehabilitation surgical intervention in gastric cancer patients undergoing laparoscopic distal radical gastrectomy.Method According to different intervention meth-ods,80 gastric cancer patients were divided into conventional group(n=38)and accelerated rehabilitation group(n=42).Both groups received laparoscopic distal radical gastrectomy.Patients in the conventional group received conventional in-tervention,while patients in the accelerated rehabilitation group received accelerated rehabilitation surgical intervention.The postoperative recovery indicators,psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and incidence of complications were compared between the two groups.Result The recovery time of initial bowel sounds,initial oral feeding time,initial mobilization time,drainage tube retention time,and hospital-ization time in the accelerated rehabilitation group were significantly shorter than those in the conventional group,and the differences were statistically significant(P<0.01).After intervention,the SDS and SAS scores of both groups were lower than those before intervention,and the scores of all dimensions of EORTC QLQ-C30 were higher than those before inter-vention,the SDS and SAS scores in the accelerated rehabilitation group were lower than those in the conventional group,and the scores of all dimensions of EORTC QLQ-C30 were higher than those in the conventional group,and the differenc-es were statistically significant(P<0.05).The total incidence of complications in the accelerated rehabilitation group was 7.14%,which was significantly lower than 28.95% in the conventional group,and the difference was statistically signifi-cant(P<0.01).Conclusion Accelerated rehabilitation surgical intervention can accelerate the recovery process of gastric cancer patients undergoing laparoscopic distal radical gastrectomy,improve their psychological state and quality of life,and reduce the incidence of complications.
关键词
胃癌/腹腔镜远端胃癌根治术/加速康复外科干预/生活质量
Key words
gastric cancer/laparoscopic distal radical gastrectomy/accelerated rehabilitation surgical intervention/quality of life
维普
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