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目的探讨加速康复外科技术应用于老年结肠癌患者围手术期的效果及安全性。方法选取29例老年结肠癌患者作为加速康复外科(FTS)组,以同期收治的32例老年结肠癌患者为对照组,分别采用FTS措施及传统方法行围手术期处理,比较两组患者的术后肛门排气排便时间、术后住院时间、住院总费用及术后并发症发生率。结果两组均无死亡病例。FTS组患者肛门排气、排便时间明显早于对照组(P<0.01),术后住院天数及住院总费用亦明显低于对照组(P<0.01,P<0.05),两组患者的术后并发症发生率差异无统计学意义(P>0.05)。结论 FTS措施应用于老年结肠癌患者围手术期是安全有效的,可加快患者术后的恢复,减少住院费用,且不增加术后并发症发生率。
Objective To investigate the effect and safety of accelerated rehabilitation surgery on perioperative patients with elderly colon cancer. Methods Twenty-nine elderly patients with colon cancer were selected as the accelerated rehabilitation surgery (FTS) group and 32 elderly patients with colon cancer were enrolled as the control group. FTS and conventional methods were used to perform perioperative management. The patients in the two groups were compared Anus exhaust defecation time, postoperative hospital stay, hospitalization costs and postoperative complications. Results There were no deaths in either group. The anal exhaust and defecation time in FTS group was significantly earlier than that in control group (P <0.01), and the postoperative hospital stay and hospitalization costs were also significantly lower than those in control group (P <0.01, P <0.05) No significant difference in the incidence of complications (P> 0.05). Conclusion The FTS is safe and effective in the perioperative period of elderly patients with colon cancer. It can speed up postoperative recovery, reduce hospitalization costs, and increase the incidence of postoperative complications.