论文部分内容阅读
目的研究快速康复外科理念(fast track surgery,FTS)在胃癌围手术期治疗中的安全性和有效性。方法 选择120例同期住院胃癌手术患者随机分为FTS组(观察组)和传统方法治疗组(对照组),比较两组患者的手术及术后恢复相关评价指标。结果 FTS组与对照组相比在手术时间(73.02±10.94min vs100.12±8.00min,P=0.001)、术中出血量(160.17±10.28ml vs441.75±25.55ml,P=0.000)等手术相关指标和术后首次排气时间(29.05±7.33h vs63.53±22.10h,P=0.000)、首次排便时间(44.33±6.59h vs143.43±9.08h,P=0.000)、肠内营养并发症发生率(8.33%vs31.67%,P=0.001)、住院时间(9.97±1.12d vs12.65±2.08d,P=0.000)等术后恢复相关指标方面的差异均有统计学意义。结论 运用FTS理念可明显加速胃癌患者术后康复进程,在胃癌围手术期中的应用是安全可行的。
Objective To study the safety and efficacy of fast track surgery (FTS) in perioperative treatment of gastric cancer. Methods A total of 120 patients with gastric cancer undergoing surgery at the same period were randomly divided into FTS group (observation group) and traditional treatment group (control group). The evaluation indexes of operation and postoperative recovery were compared between the two groups. Results Compared with the control group, the operation time (73.02 ± 10.94min vs 100.12 ± 8.00min, P = 0.001) and the blood loss in the FTS group (160.17 ± 10.28ml vs441.75 ± 25.55ml, P = 0.000) (29.05 ± 7.33h vs63.53 ± 22.10h, P = 0.000), the first defecation time (44.33 ± 6.59h vs143.43 ± 9.08h, P = 0.000), and the correlation between enteral nutrition (8.33% vs 31.67%, P = 0.001), length of hospital stay (9.97 ± 1.12d vs12.65 ± 2.08d, P = 0.000), and there were significant differences in postoperative recovery related indicators. Conclusion The concept of FTS can significantly accelerate the recovery of patients with gastric cancer after surgery, the application of perioperative gastric cancer is safe and feasible.