摘要
目的 观察和探讨预康复理念在原发性肝癌腹腔镜肝切除术中的应用效果。方法 选取2019年1月至2020年1月我院收治的92例行腹腔镜肝切除术的肝癌患者，按随机数字表法分为干预组及对照组各46例。干预组在门诊收治当日开始预康复理念干预，对照组予以常规肝癌腹腔镜肝切除术术前准备。患者入院及术后一周进行健康调查（SF-36），同时检测血清白蛋白（ALB）、前白蛋白（PA）、转铁蛋白（TRF）水平。结果 术后干预组患者血清ALB、PA、TRF水平与干预前差异无统计学意义（P>0.05）；对照组患者血清ALB、PA、TRF水平低于干预前（P<0.05）；干预组患者SF-36评分高于干预前（P<0.05）；对照组SF-36评分与干预前差异无统计学意义（P>0.05）；术后干预组SF-36评分、血清ALB、PA、TRF水平高于对照组。结论 预康复理念应用于肝癌腹腔镜肝切除术可明显改善患者围术期生活质量和营养水平加速患者术后恢复。
关键词： 预康复理念；原发性肝癌；腹腔镜；肝切除术
Abstract
Objective To observe and discuss the effect of pre-rehabilitation in laparoscopic hepatectomy for primary liver cancer. Methods: 92 HCC patients admitted to our hospital from January 2019 to January 2020 who underwent laparoscopic hepatectomy were randomly divided into the intervention group and the control group, each with 46 cases. The intervention group began the pre-rehabilitation concept intervention on the day of outpatient treatment, while the control group received routine laparoscopic hepatectomy for hepatocellular carcinoma. SF-36 short form was used to evaluate life quality and the serum level of albumin (ALB), prealbumin (PA) and transferrin (TRF) was detected at the admission and 1 week after the surgery. Results: The serum level of ALB, PA and TRF of patients in the postoperative intervention group were not significantly different from those before the intervention (P>0.05). The serum level of ALB, PA and TRF in the control group were lower than those before the intervention (P<0.05). Sf-36 score in the intervention group was higher than that before the intervention (P<0.05). There was no statistically significant difference between sf-36 score in the control group and that before the intervention (P>0.05). The sf-36 score, serum ALB, PA and TRF levels of the postoperative intervention group were higher than those of the control group. Conclusion : The application of pre-rehabilitation concept in laparoscopic hepatectomy for hepatocellular carcinoma can significantly improve perioperative activity, mental state and postoperative recovery of patients.
Key words： Pre-rehabilitation concept; Primary liver cancer; Laparoscope; Liver resection
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