多学科会诊模式在结肠癌手术患者中的应用效果

目的分析多学科会诊(MDT)模式对结肠癌患者术后胃肠功能恢复及并发症的效果评价。方法将2017年1月至12月收治的50例结肠癌患者作为对照组,给予常规干预措施;将2018年1月至12月收治的50例结肠癌患者为观察组,采取MDT模式干预。比较两组患者的胃肠功能恢复情况及一般围手术期指标;干预前和干预后2周,采用世界卫生组织生存质量评估量表(WHOQOL-BREF)评估两组患者的生活质量;术后3天,采用视觉模拟评分法(VAS)评估两组患者腹胀发生情况;比较两组患者术后并发症发生情况。结果观察组患者肛门排气时间、首次排便时间、肠鸣音恢复时间、禁食时间、伤口愈合时间、住院时间、术后下床时间均短于对照组患者,差异均有统计学意义(P﹤0.05)。干预后2周,两组患者环境领域、社会领域、心理领域、生理领域及总体健康评分均高于本组干预前,且观察组患者环境领域、社会领域、心理领域、生理领域及总体健康评分均明显高于对照组患者,差异均有统计学意义(P﹤0.05)。术后3天,观察组患者的腹胀程度低于对照组患者,差异有统计学意义(P﹤0.05)。观察组患者术后并发症总发生率为6.0%,低于对照组患者的20.0%,差异有统计学意义(P﹤0.05)。结论MDT模式干预可促进患者术后胃肠功能恢复情况,缩短伤口愈合时间及住院时间,降低术后并发症发生率,并改善了患者的生活质量。

Evaluation of the effect of multidisciplinary team approach applied in the surgery patients with colon cancer

Objective To analyze the effect of multidisciplinary team(MDT)approach on the postoperative recovery of gastrointestinal function and complications in patients with colon cancer.Method Fifty patients with colon cancer admitted to our hospital from January to December 2017 were included in the analysis as control group,which was given routine interventions;besides,another 50 colon cancer patients treated from January to December 2018 were analyzed as study group,which was given MDT-based interventions.The recovery of gastrointestinal function and general perioperative indicators were compared between the two groups;before and after interventions,the World Health Organization quality of life(WHOQOL-BREF)questionnaire was utilized to evaluate the quality of life of both groups;3 days after surgery,visual analogue scale(VAS)was used to assess the occurrence of abdominal distension;additionally,the incidence of complications were also compared between the two groups.Result In study group patients,the anal exhaust time,time to first defecation,recovery time of bowel sound,fasting time,wound healing time,length of hospital stay,time to postoperative ambulation were significantly shorter compared to those of the counterparts in control group(P<0.05).After 2 weeks of intervention,he scores regarding environmental,social,psychological,physiological and general health in the two groups were higher than those before intervention,and he scores regarding environmental,social,psychological,physiological and general health in the observation group were significantly higher than those in the control group(P<0.05).Lower degree of abdominal distention was noted in study group at 3 days after surgery compared to control group(P<0.05).The overall incidence of complications in study group was 6.0%,which was evidently lower than the 20.0%in control group(P<0.05).Conclusion MDT-based interventions for patients undergoing colon cancer surgery promotes the recovery of gastrointestinal function,shortens the time of wound healing and hospitalization,with reduced incidence of postoperative complications,and thus improves the quality of life of patients.