快速康复外科理念在右半结肠切除术中的应用与评估

Application and assessment of fast-track surgery in right hemicolectomy

目的探索快速康复的理念在右半结肠切除术中的应用,评估其康复效果。方法行右半结肠切除术患者30例,被随机分为快速康复组15例、传统方法对照组15例。术后14 d对患者进行随访调查,比较其康复指标(胃肠道恢复情况、营养状况、并发症、住院费用、住院时间)的差异。结果与对照组比较,快速康复组的胃肠道恢复时间缩短、营养状况改善、住院时间缩短、费用降低,不良反应和并发症发生率差异无统计学意义。结论右半结肠切除术采用快速康复的理念进行治疗安全可行,可以在不增加不良反应及并发症的情况下加快患者的康复、降低花费和住院时间。

Objective To study the application of fast - track surgery in right hemicolectomy and assess its effect. Methods Thirty patients scheduled to undergo right hemicolectomy were randomly divided into two groups ：the fast- track surgery group（ FTS,n = 15）and conventional surgery group（ n = 15）. Patients were interviewed 14 clays postoperatively to evaluate the data of recovery, including gastrointestinal recovery,nutritional status, adverse reactions, hospital stay, and costs of hospitalization. Results Compared with the conventional surgery group, the average cost and hospital stay in FTS group decreased and convalescence accelerated. The rate of adverse reactions in the two groups was similar. Conclusions The application of fast - track surgery during the perioperative period is safe and effective in right hemicolectomy. Fast - track rehabilitation after right hemicolectomy results in earlier convalescence with reduced need for hospital stay and cost of hospitalization, and with fewer adverse reactions.