Clinical effect of restrict rehydration strategy on anastomotic healing of patients with colorectal cancer in fast-track
10.3760/cma.j.issn.1008-1372.2011.10.004
- VernacularTitle:快速流程模式下术后限制补液对吻合口愈合的影响
- Author:
Jin HAO
;
Tinghan YANG
;
Yi PU
;
Na ZHAO
;
Xiaodong WANG
;
Li LI
- Publication Type:Journal Article
- Keywords:
Fluid therapy/MT;
Colorectal neoplasms/SU;
Surgical stomas;
Wound healing
- From:
Journal of Chinese Physician
2011;13(10):1309-1312
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical effect of restrict rehydration strategy on anastomotic healing of patients with colorectal cancer.Methods 483 cases of colorectal cancer ( from January 2008 to November 2009) were analyzed retrospectively,166 in fluid restriction group and 317 in tradition therapy group.Postoperative early rehabilitations and complications were studied and compared.Results The first time of passing flatus(3.9 d vs 4.4 d),first ambulation(2.9 d vs 3.3 d),oral intake(2.9 d vs 3.6 d),time with use of urinary catheter(4.6 d vs 5.5 d),and drains(2.2 d vs 3.1 d),and postoperative hospital stay ( 8.7 d vs 11.6 d) in fluid restriction group were significantly earlier or less than those in tradition therapy group ( P ＜ 0.01 ),while there were no significant differences in time with use of nasogastric tubes ( 1.1 d vs 1.2 d) between the 2 groups ( P ＞ 0.05 ).There was significant difference in the postoperative complications rate between the two groups ( P ＜ 0.05 ).Conclusions Restrictive fluid regimen could reduce the incidence of common complications for patients after colorectal surgery,and might have a certain promoter action to the anastomotic healing.
