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中国癌症防治杂志

中国癌症防治杂志

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快速康复外科在结直肠癌患者围手术期的应用

谢桂生;董保国;韦建宝;梁驰;李霖;   

  1. 广西南宁市第二人民医院普外科;
  • 收稿日期:2010-06-25 修回日期:2010-06-25 出版日期:2010-06-25 发布日期:2010-06-25

Perioperative application of fast-track surgery in patients received colorectal surgery

XIE Gui-sheng,DONG Bao-guo,WEI Jiam-bao,et al.   

  1. (Department of General Surgery,The Second People's Hospital of Nanning City,Nanning 530031,China
  • Received:2010-06-25 Revised:2010-06-25 Online:2010-06-25 Published:2010-06-25

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被引次数

52

摘要： 目的探讨快速康复外科(fast-track surgery,FTS)在结直肠癌患者围手术期应用的临床效果。方法选取164例需行结直肠癌手术的患者,随机分为观察组和对照组各82例,分别采用快速康复外科理念和传统方法进行治疗。比较两组术后肛门首次排气时间及排便时间、进食时间、胃管及尿管留置时间、术后住院时间、术后并发症发生率和住院费用等指标。结果观察组患者肛门首次排气及排便时间、进食时间、胃管及尿管留置时间、术后住院时间等均较对照组明显缩短(P均<0.001);术后并发症发生率较对照组明显减少(P<0.001);住院费用较对照组明显减少(P<0.001)。结论 FTS在结直肠癌患者围手术期的应用,能明显减轻患者痛苦,有效减少并发症发生,加速患者术后康复,节省医疗费用,具有广阔的应用前景。

关键词: 快速康复外科, 结直肠癌, 手术, 围手术期

Abstract: Objective To explore the clinical effect of fast-track surgery in perioperative period of the patients with colorectal cancer that received colorectal surgery.Methods164 patients received colorectal surgery were randomly divided into the fast-track surgery(FTS)group and control group,82 in each group.Clinical therapeutic effect and complications of the two groups were compared by each other.Results Comparing to control group,FTS group had significantly shorter time of indwelling stomach catheter and urethral catheter,first feeding via alimentary tract,first exhaust and defecation,and the hospitalization time(all P<0.001).The complication rate was lower in the FTS group than that in control group(P<0.001).The cost of hospitalization in the FTS group was less than that in control group(P<0.001).Conclusion It is clinically feasible to apply fast-track surgery to the patients with colorectal cancer that received colorectal surgery during perioperative period.Fast-track surgery can significantly release pains,reduce complication rate,save medical cost and accelerate recovery after surgery.

Key words: Fast-track surgery, Colorectal cancer, Operation, Perioperative period