快速康复理念在胃癌围手术期中的应用

摘要

Objective The study of comparing the therapeutic efficiency andsafety between fast track surgery (FTS)programme and regular programme was carried out perioperation period in gastric cancer patients. Methods 120 gastric cancer patients were inveled and randomly divided into control group ( conventional therapy) and fast track surgery group ( fast track surgery) with 60 cases in each group. Operation related indicators and postoperative indicators were compared between the 2 groups. Results There was a significant difference between the two groups in operation time (73.02 ± 10.94 min vs 100.12 ± 8.00 min, P = 0.001 ), in-operation bleeding ( 160. 17 ± 10.28 ml vs 441.75 ± 25.55 ml, P = 0. 000 ), first flatus time (44.33 ± 6.59 h vs 143.43 ± 29.08 h, P = 0.000), enteral nutrition complications (8.33％ vs 31.67％, P = 0. 001 ), hospital stay (9.97 ± 1.12 d vs 12.65 ± 2.08 d, P =0. 000). Conclusion FTS treatment can accelerate potoperative rehabilitation and increase clinical efficiency in gastric cancer patients.%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±10.94 min vs 100.12±8.00 min,P=0.001)、术中出血量(160.17±10.28 ml vs441.75±25.55 ml,P=0.000)等手术相关指标和术后首次排气时间(29.05±7.33 h vs 63.53±22.10 h,P=0.000)、首次排便时间(44.33±6.59 h vs 143.43±9.08 h,P=0.000)、肠内营养并发症发生率(8.33%vs 31.67%,P=0.001)、住院时间(9.97±1.12 d vs 12.65±2.08 d,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.