目的 探讨加速康复理念对于结直肠癌患者围术期治疗的意义。方法 选择2015 年 8 月至2017 年 3 月期间笔者 所在医院收治的 64 例结直肠癌患者作为研究对象，分为观察组和对照组，分别给予加速康复治疗和常规治疗。观察组术前 行心理指导，营养不良患者给予肠内营养治疗，术前6 小时禁固体，术前2 小时在专业护士指导下口服12.5% 麦芽糊精果 糖饮品；术中给予保温措施；术后多模式止痛，早期进食等。对照组给予常规治疗，比较两组患者的治疗效果。结果 观察 组术后初次排气时间为（1.99±0.40）天，首次进食时间（5.16±0.41）小时，首次排便时间（2.86±0.37）天，平均术后住院 时间（ 5.73±0.82）天，术后总体并发症发生率为3.13%；对照组术后初次排气时间为（3.08±0.40）天，首次进食时间（11.28±0.66） 小时，首次排便时间（3.92±0.55）天，术后住院时间（8.50±1.25）天，术后总体并发症发生率为 15.63%，两组比较差异有 统计学意义（P ＜ 0.05）。结论 加速康复理念用于结直肠癌患者的围术期能明显减轻患者痛苦，显著减少并发症的发生， 缩短住院时间，加速患者术后康复，临床应用安全、可行。

Objective To investigate the significance of applying the principle of enhanced recovery after sugery to the patients undergoing colorectal surgery in the perioperative period. Methods From August 2015 to March 2017 in our hospital 64 cases of patients with colorectal cancer were divided into observation group and control group, and accelerated rehabilitation and routine treatment were given respectively. The observation group underwent psychological guidance before operation, and the patients with malnutrition were given enteral nutrition therapy. Solid diet were forbidden for 6 hours before surgery, 12.5% maltodextrin fructose drink was given orally under the guidance of a professional nurse 2 hours before surgery; insulation measures were given during operation; multi-mode analgesia, and early feeding was encouraged after surgery, etc. The control group received conventional treatment, and compared the rehabilitation effects of the two groups. Results The initial exhaust time of the observation group was (1.99±0.40) days, the frist feeding time was (5.16±0.41) hours, the defecation time was (2.86±0.37) days, and the postoperative hospital stay was (5.73±0.82) days, the overall complication rate was 3.13%; the initial exhaust time of the control group was (3.08±0.40) days, the frist feeding time (11.28±0.66) hours, the defecation time (3.92±0.55) days, and the postoperative hospital stay (8.50±1.25) days, the incidence of postoperative complications was 18.75%, and the difference was statistically significant (P<0.05). Conclusion It is clinically feasible to apply the principle of enhanced recovery after sugery to the nursing care of the colorectal surgery patients because it can significantly release pains, reduce complication rate, shorten hospital stay and accelerate the recovery after surgery.