快速康复外科在结直肠癌手术中的应用

Clinical use of fast-track surgery in colorectal surgery

目的 探讨快速康复外科在结直肠癌手术中的应用.方法 选取80例结直肠癌手术患者,按随机数字表法分为观察组和对照组,每组40例,分别采用快速康复外科治疗及传统方法 治疗,比较两组术后首次排气、排便时间及住院时间、术后并发症发生率、再住院率及住院费用.结果 观察组首次排气、排便时间及住院时间[分别为（2.7±0.9）、（2.9±0.1）、（5.8±1.0）d]明显短于对照组[分别为（3.9±0.5）、（4.2±0.3）、（8.3±1.2）d],术后并发症发生率[7.5%（3/40）]及住院费用[（1.83±0.22）万元]也明显低于对照组[分别为27.5%（11/40）、（2.35±0.36）万元],差异均有统计学意义（P＜0.05）.结论 采用快速康复外科技术可以有效促进结直肠癌患者术后胃肠道功能的恢复,减少并发症的发生并节省住院费用.

Objective To investigate the feasibility of fast-track surgery in colorectal surgery.Methods Eighty consecutive patients with colorectal cancer admitted for colorectal surgery were divided into two groups by random digits table with 40 cases each. Group A was treated with the new concept of fasttrack surgery and group B was treated with the traditional methods of operation. The time of postoperative bowel venting and defecation,hospital stay time, the rate of complication, the rate of readmission and the total cost during hospitalization were compared. Results The time of postoperative bowel venting and defecation,hospital stay time were shorter in group A [（2.7 ± 0.9）, （2.9 ± 0.1 ）, （5.8 ± 1.0） d,respectively]than those in group B [（ 3.9 ± 0.5 ）, （4.2 ± 0.3 ）, （ 8.3 ± 1.2） d, respectively] and the rate of complication and the total cost during hospitalization in group A [7.5%（3/40）, （ 1.83 ± 0.22） ten thousand yuan] were lower than those in group B[27.5%（11/40）, （2.35 ± 0.36） ten thousand yuan]（P〈 0.05）. Conclusion The new concept of fast-track surgery can accelerate recovery after colorectal resection,reduce the rate of overall complications and total cost during hospitalization.