胃肠道肿瘤术后患者管理的研究进展与思考

杨森; 葛许华; 马乐; 金花; 赵华新; 白朝辉; 于德华

doi:10.16766/j.cnki.issn.1674-4152.003344

胃肠道肿瘤术后患者管理的研究进展与思考

doi: 10.16766/j.cnki.issn.1674-4152.003344

杨森^{1, 2},
葛许华¹,
马乐¹,
金花^{1, 3},
赵华新⁴,
白朝辉¹,
于德华^{1, 3, ,}

1.
同济大学附属杨浦医院全科医学科，同济大学医学院全科医学研究中心，上海 200090
2.
日喀则市拉孜县社区卫生服务中心全科医学科，西藏日喀则 858100
3.
上海市全科医学与社区卫生发展研究中心，上海 200090
4.
同济大学附属第十人民医院肿瘤科，上海 200072

基金项目:

国家自然科学基金项目 72104183

上海市科技计划项目 20YF1444900

同济大学附属杨浦医院院级课题 Se1201924

详细信息

通讯作者:
于德华，E-mail: ydh1404@sina.com

中图分类号: R735 R730.9
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- 文章访问数: 390
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- PDF下载量: 25
- 被引次数: 0
出版历程
- 收稿日期: 2023-09-11
- 网络出版日期: 2024-03-09

Research progress and reflections on the management of postoperative patients with gastrointestinal neoplasms

YANG Sen^{1, 2},
GE Xuhua¹,
MA Le¹,
JIN Hua^{1, 3},
ZHAO Huaxin⁴,
BAI Zhaohui¹,
YU Dehua^{1, 3
, ,}

1.
Department of General Practice, Research Center for General Practice, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China

摘要

摘要: 胃肠道肿瘤术后患者的管理一直是临床医疗的重要热点。在术后康复过程中，患者可能会遇到多种并发症，如感染、出血、肠梗阻等，对这些并发症的管理成为术后恢复的关键环节。除了并发症的管理，营养支持和饮食管理也是术后患者康复的重要方面。由于胃肠道肿瘤手术涉及消化系统的部分或全部切除，患者的营养吸收和饮食摄入会受到影响。除此之外，术后患者的康复与功能恢复也是术后管理的重点。胃肠道肿瘤手术会对患者的身体造成较大的影响，如影响消化功能、运动能力等，因此患者的康复和功能恢复需要较长时间。在这个过程中，医生需要为患者提供个性化的康复计划，进行适当的药物治疗和心理咨询等，帮助患者逐步恢复正常生活。尽管胃肠道肿瘤术后患者管理的研究已经取得了一定的进展，但是仍面临着诸多挑战，如医疗资源分配不均衡、缺乏规范化管理模式、患者自我管理的欠缺等，这将使患者无法得到及时有效的治疗和管理，导致病情恶化或并发症的发生。总之，胃肠道肿瘤术后患者的管理需要多方面的综合管理和支持，未来需要进一步加强胃肠道肿瘤术后患者管理相关研究的开展，探索更好的管理方式和方法，这将有望改善术后患者的康复效果、提升生活质量，并降低并发症的发生率。
- 胃肠道肿瘤 /
- 手术后管理 /
- 进展
Abstract: The management of postoperative patients with gastrointestinal neoplasms has always been an important hotspot in clinical care. During postoperative recovery, patients may experience a variety of complications, such as infection, bleeding, bowel obstruction, etc. The management of these complications has become a key aspect of postoperative recovery. In addition to the management of complications, nutritional support and dietary management are also important aspects of postoperative patient recovery. As gastrointestinal neoplasm surgery involves partial or total resection of the digestive system, patients' nutritional absorption and dietary intake will be affected. Rehabilitation and functional recovery of postoperative patients are also at the forefront of postoperative management. Surgery for a gastrointestinal neoplasm will have a greater impact on the patient's body, such as affecting digestive function, motor ability, etc. Therefore, the patient's rehabilitation and functional recovery will take longer. During this process, doctors must provide patients with personalized rehabilitation plans, appropriate medication and psychological counselling, etc. to help patients gradually return to normal life. Although research into the management of postoperative patients with gastrointestinal neoplasms has made some progress, it still faces many challenges. For example, unbalanced distribution of medical resources, lack of standardized management mode and lack of patient self-management, which will prevent patients from receiving timely and effective treatment and management, leading to deterioration or complications. In conclusion, the management of postoperative patients with gastrointestinal neoplasms requires comprehensive management and support in many aspects. In the future, it is necessary to further strengthen the development of research related to the management of postoperative patients with gastrointestinal neoplasms and to explore better management methods and approaches that will hopefully improve the rehabilitation outcomes, enhance quality of life, and reduce the incidence of complications in postoperative patients.
- Gastrointestinal neoplasms /
- Postoperative management /
- Progress

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参考文献(39)

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