快速康复外科理念在肝癌介入治疗中的应用

目的 观察快速康复外科理念在肝癌介入治疗中的效果。方法 选取南昌市第九医院2021年1月至10月收治的原发性肝癌行首次介入治疗患者80例为研究对象，采用随机数字表法分为对照组及研究组，每组各40例，对照组采用一般护理干预，研究组联合快速康复外科理念进行干预，比较两组患者术后首次下床时间、首次肛门排气时间、首次排便时间、住院时长，分析两组患者术后疼痛、感染、出血及日常生活能力情况。结果 研究组患者术后首次下床时间、首次肛门排气时间、首次排便时间、住院时长低于对照组，差异有统计学意义（P<0.05）。研究组术后发生疼痛、感染、出血情况低于对照组，差异有统计学意义（P<0.05）。研究组术后患者日常生活自理能力高于对照组，差异有统计学意义（P<0.05）。结论 采用快速康复外科理念对原发性肝癌首次行介入治疗患者进行管理，可加快患者康复，缩短住院时长，减少术后疼痛、感染、出血并发症出现，提高患者术后日常生活自理能力。

Application of rapid rehabilitation surgery in perioperative period of interventional therapy for liver cancer

Objective To observe the effect of the concept of rapid rehabilitation surgery in the interventional therapy of liver cancer. Methods A total of 80 cases of the patients with primary liver cancer treated with interventional therapy from January to October in 2021 for the first time in Nanchang Ninth Hospital as the research objects, which were randomly divided into control group and study group according to the random number table, with 40 cases in each group, the patients in the control group were used general nursing intervention, which in the other group were added the concept of rapid rehabilitation surgery to the general nursing intervention, then two groups of patients with postoperative bed time, for the first time the anus exhaust time, for the first time defecation time, hospitalization time, postoperative pain, infection, hemorrhage, and ability of daily self-care after the interventional therapy were compared. Results The first time out of bed, the first anal exhaust time, the first defecation time and the length of hospitalization in the study group were lower than those in the control group, the difference between the two groups was statistically significant (P<0.05). The incidence of postoperative pain, infection and bleeding in the study group was lower than that in the control group, the difference between the two groups was statistically significant (P<0.05), And the ability of daily self-care after the interventional therapy in the study group was higher than that in the control group, the difference between the two groups was statistically significant (P<0.05). Conclusion Using the concept of rapid rehabilitation surgery to manage the patients undergoing interventional therapy for primary liver cancer for the first time can accelerate the recovery of patients, shorten the hospitalization time, reduce postoperative pain, infection and bleeding complications, and improve the daily self-care ability of patients after surgery.