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目的探讨快速康复外科(fast track surgery,FTS)在腹腔镜结肠癌切除术围术期的应用价值。方法选取我院2013年9月~2015年9月腹腔镜结肠癌切除术200例,采用随机数字法分为传统组和FTS组各100例,比较肛门排气时间、排便时间、进半流食时间、住院时间、术后并发症。结果与传统组比较,FTS组排气早[(28.0±4.4)h vs.(40.9±5.4)h,t=-18.520,P=0.000],排便早[(38.8±5.3)h vs.(50.7±4.3)h,t=-17.436,P=0.000],进半流食早[(2.3±0.8)d vs.(4.2±0.7)d,t=-17.874,P=0.000],术后住院时间短[(6.2±1.3)d vs.(9.2±1.6)d,t=-14.552,P=0.000],术后肺部感染发生率低(6%vs.20%,χ~2=8.665,P=0.003)。结论 FTS有利于患者术后康复,胃肠功能恢复快。
Objective To investigate the value of fast track surgery (FTS) in the perioperative period of laparoscopic colon cancer resection. Methods Two hundred and seventy cases of laparoscopic colon cancer resection in our hospital from September 2013 to September 2015 were selected and divided into two groups according to the random number method: 100 cases in the traditional group and 100 cases in the FTS group. The anal exhaust time, defecation time, , Hospital stay, postoperative complications. Results Compared with the traditional group, the rate of early exhaust (38.8 ± 5.3) h vs. (50.7) in FTS group was significantly higher than that in the control group (28.0 ± 4.4 h vs. (40.9 ± 5.4) h, t = -18.520, (4.3 ± 0.8) d vs. (4.2 ± 0.7) d, t = -17.874, P = 0.000]. The postoperative length of stay was shorter (± 4.3 h, t = -17.436, P = 0.000) (6.2 ± 1.3) d vs. (9.2 ± 1.6) d, t = -14.552, P = 0.000]. The incidence of postoperative pulmonary infection was lower (6% vs 20%, χ ~ 2 = 8.665, P = 0.003). Conclusion FTS is beneficial to patients’ recovery after operation, and their gastrointestinal function can recover quickly.