首页|围手术期量化康复锻炼促进肝癌患者术后早期康复的效果分析

围手术期量化康复锻炼促进肝癌患者术后早期康复的效果分析

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目的 分析对肝癌患者实施围手术期量化康复锻炼对术后早期康复的效果。方法 选择80 例肝癌患者,依据干预方式不同分为对照组(给予常规干预)及观察组(给予围手术期量化康复锻炼),各 40 例。比较两组术后并发症发生率、康复效果、肝功能指标[β2-微球蛋白(β2-MG)、尿素氮(BUN)、血清肌酐(Cr)、血浆白蛋白(Alb)]、血红蛋白(Hb)。结果 观察组术后并发症发生率为 2。50%,低于对照组的 22。50%,差异有统计学意义(P<0。05)。观察组下床活动、术后住院、拔管、术后排气时间分别为(27。11±6。11)h、(4。55±1。38)d、(27。99±6。72)h、(23。17±8。44)h,均短于对照组的(39。21±8。25)h、(7。01±2。01)d、(32。81±6。55)h、(35。29±10。85)h,差异有统计学意义(P<0。05)。观察组的Hb(115。09±3。19)g/L、Alb(36。29±4。26)g/L高于对照组的(72。38±2。88)、(29。28±7。05)g/L,β2-MG(3。38±0。97)μg/L、BUN(9。71±1。38)mmol/L、Cr(119。58±19。42)μmol/L低于对照组的(6。95±1。45)μg/L、(12。97±2。75)mmol/L、(156。41±14。25)μmol/L,差异有统计学意义(P<0。05)。结论 肝癌患者采用围手术期量化康复锻炼,可明显改善患者肝功能指标,提升康复效果,减少术后并发症的发生,适合应用于临床推广。
Effect analysis of perioperative quantitative rehabilitation exercise on promoting early postoperative recovery of liver cancer patients
Objective To analyze the effect of perioperative quantitative rehabilitation exercise on promoting early postoperative recovery of liver cancer patients.Methods 80 cases of liver cancer patients were divided into an observation group(perioperative quantitative rehabilitation exercise)and a control group(routine intervention)based on different intervention methods,with 40 cases in each group.The incidence of complications,rehabilitation effects,and liver function indicators[β2-microglobulin(β2-MG),blood urea nitrogen(BUN),serum creatinine(Cr),plasma albumin(Alb)],hemoglobin(Hb)were compared between the two groups.Results The incidence of postoperative complications in the observation group was 2.50%,which was lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the ambulation time,hospitalization time,extubation time and postoperative exhaust time were(27.11±6.11)h,(4.55±1.38)d,(27.99±6.72)h and(23.17±8.44)h,which were shorter than(39.21±8.25)h,(7.01±2.01)d,(32.81±6.55)h and(35.29±10.85)h in the control group,and the difference was statistically significant(P<0.05).The observation group had Hb of(115.09±3.19)g/L and Alb of(36.29±4.26)g/L,which were higher than(72.38±2.88)and(29.28±7.05)g/L in the control group;the observation group had β2-MG of(3.38±0.97)μg/L,BUN of(9.71±1.38)mmol/L,and Cr of(119.58±19.42)μmol/L,which were lower than(6.95±1.45)μg/L,(12.97±2.75)mmol/L,and(156.41±14.25)μmol/L in the control group;the difference was statistically significant(P<0.05).Conclusion For postoperative liver cancer patients,perioperative quantitative rehabilitation exercise can significantly improve liver function indicators,enhance rehabilitation effect,and reduce the occurrence of postoperative complications,making it suitable for clinical promotion.

Liver cancerPerioperative periodQuantitative rehabilitation exercisePostoperative early rehabilitation

杨雅女

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361003 厦门市第一医院

肝癌 围手术期 量化康复锻炼 术后早期康复

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(22)