胃癌病人应用加速康复外科的对照研究

Clinical study of fast track surgery in gastric cancer patients

目的:对胃癌病人应用加速康复外科(FTS)方案进行对照研究。方法:选取胃癌病人100例,50例应用常规治疗方案作为对照组,50例应用FTS方案为FTS组,比较两组病人的住院时间,住院费用和并发症。结果:FTS组病人住院时间为(12.4±3.3)d,与对照组[(16.2±3.2)d]比较有非常显著差异(P<0.01)。两组病人的术前天数无显著性差异(P=0.282)。FTS组病人术后天数(6.6±3.0)d,较对照组(10.6±2.8)d明显缩短(P<0.01)。FTS组平均住院费用(21 420±3 733)元,低于对照组(24 991±4 408)元(P<0.01)。两组并发症比较无明显差异(P>0.05)。结论:通过围手术期FTS方案治疗,胃癌病人术后康复加快,住院时间,特别是术后住院时间缩短,医疗费用下降。

Objective： The study on therapeutic efficiency and costs between fast track surgery （FTS） programme and regular programme was carried out gastric cancer patients. Methods：100 gastric cancer patients were selected to treat with conventional therapy as control group or to treat with fast track surgery programme. The hospital stay, preoperative hospital stay, postoperative hospital stay,hospitalization expenditure, and complication were compared between the 2 groups. Results： There was a significant difference（P〈0.01） in hospital stay between FTS group [（12.4± 3.3 ）d ] and control group [（16.2±3.2）d]. Postoperative stay was obviously shortened in FTS group compared to control group [（6.6±3.0） d vs （10.6±2.8） d ,P〈0.01]. Hospitalization expenditure in FTS group was lower than that in control group. The complication was not significantly different between the two groups. Conclusion：FTS treatment can accelerated postoperative rehabilitation and elevate clinical efficiency in patients.