加速康复外科在结直肠癌手术病人的应用研究

The clinical use of fast track surgery in colorectal cancer patient

目的:应用围手术期加速康复外科理念,观察结直肠癌手术病人临床应用的有效性、安全性及其优势。方法:50例结直肠癌手术病人随机分成两组,使用加速康复外科方法21例作为加速康复外科组;使用常规围手术期方案手术29例作为常规对照组。分析研究两组病人术后肠道通气时间、住院天数、住院费用和人体组成等指标,并观察记录不良反应及并发症。结果:加速康复外科围手术期方案比常规围手术期方案,可更好地促进术后病人肠道功能恢复,缩短住院时间,降低住院费用,并可减少围手术期病人蛋白质、肌肉和体质量丢失,维持围手术期的水分平衡,减少病人因医源性操作引起的不适及手术相关并发症的发生。结论:加速康复外科理念在结直肠癌择期手术病人中应用是安全、经济、有效和可靠的围手术期处理方案。

Objective： To investigate the effectiveness, safety and advantage of using fast track surgery in perioperative period of eoloreetal cancer patient. Methods ： 21 patients using fast track surgery in perioperative period as trial group, and 29 patients using traditional protocol as control group were compared in the index of postoperative bowel venting, hospital stay time, medical treatment cost and body composition. Results： Compared to traditional perioperative protoeal, the use of fast track surgery could accelerate recovery of bowel function, decrease hospital stay time, low down medical treatment cost, and decrease the perioperative losses of body protein, muscle and body weight. It might also maintain perioperative fluid balance. Conclusion： Fast track surgery could accelerate the recovery after eoloreetal operation.