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[目的]探讨在多学科合作模式下(MDT)快速康复外科(FTS)理念在胃肠道肿瘤围手术期中应用的可行性和效果。[方法]2010年9月至2011年11月间收治的胃肠道肿瘤患者60例,随机分为MDT模式下FTS流程组(n=30)及传统围手术期治疗方法(CPM)组(n=30),比较两组患者术后胃肠功能恢复时间、首次经口进食时间、手术并发症发生率、术后辅助治疗执行时间等。[结果]与CPM组比较,FTS组术后胃肠功能恢复时间、首次经口进食时间提前(P<0.05)。两组术后并发症发生率差异无统计学意义(P>0.05)。[结论]MDT模式下FTS流程在胃肠道肿瘤患者围手术期处理过程中安全、有效,有利于加速患者术后恢复。
[Objective] To explore the feasibility and effect of the concept of rapid rehabilitation surgery (FTS) in the multi-disciplinary cooperation (MDT) in the perioperative period of gastrointestinal cancer. [Methods] Sixty patients with gastrointestinal cancer who were admitted between September 2010 and November 2011 were randomly divided into three groups: the FTS group (n = 30) and the group of traditional perioperative patients (n = 30) = 30). The recovery time of gastrointestinal function, the time of first oral feeding, the incidence of complications and the time of postoperative adjuvant therapy were compared between the two groups. [Results] Compared with CPM group, the recovery time of gastrointestinal function and the first oral intake time of FTS group were earlier (P <0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). [Conclusion] The FTS procedure in MDT mode is safe and effective in the perioperative management of patients with gastrointestinal cancer, which is beneficial to accelerate the recovery after operation.