[Objective] To investigate the clinical effect and significance of rapid postoperative recovery in breast carcinoma. [Methods] Of 92 cases who wen randomly assigned to this research, 45 underwent rapid postoperative recovery with integrative medicine in treatment group including: drink clear liquid 2 hours prior to the operation; early postoperative resumption of oral intake; less days of unne indwelling cathete; early ambularion; auricular points plaster and the other Chinese herb and nursing care for recovery; 47 underwent routine. [Results] There were significant differences in scores of the patient's well-being at 24 hours(4±2.1 vs 8±3.2) and the length of hospital stay(8±3.2 vs 8+2.4). The volume of draining and rate of subcutaneous effusion in the treatment grouf were remarkably less than control group(P<0.05 for both comparisons). Rates of aspiration and urinary tract infection were all 2.2% in treatment group and the respective rates were 0% and 6.4% in control group. What's more, there was no incision infection in both groups. [Conclusion] Fast track surgery with integrative medicine is beneficial in many surgical diseases for rapid postoperative recovery, especially in breast carcinoma.%[目的]探讨乳腺癌术后早期促康复的临床效果和意义.[方法]将临床92例乳腺癌患者随机分为治疗组45例和对照组47例,治疗组给予中西医结合快速康复治疗,包括术前2h进饮,术后早期进食,早期拔导尿管,早期下床活动及中医耳穴压豆,中药和中医特色护理等综合治疗,两组其余治疗相同.[结果]治疗组术后24h舒适度评分和术后出院时间分别是(4±2.1)分和(6±2.2)d,显著优于对照组(8±3.2)分和(8±2.4)d；同时治疗组患者总引流管引流量和皮下积液发生率分别为(470±56.7)mL和8.9％,优于对照组(756± 132.5)mL和17.0％；两组均没有切口感染发生,治疗组误吸发生率和尿路感染发生率均是2.2％,对照组分别是0％和6.4％,差异无统计学意义(P＞0.05).[结论]中西医结合的快速康复在多种外科疾病中均有意义,在乳腺癌术后的恢复中可以让患者获益更大.
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