快速康复外科理念在肝癌围手术期处理中的应用

Application of fast track surgery in perioperative management of patients with primary hepatic cancer

目的探讨快速康复外科(FTS)理念在肝癌切除术患者围手术期处理中应用的安全性。方法 40例患者随机平均分为FTS组和对照组,对照组采用常规围手术期处理方法,FTS组采用FTS理念指导下优化的围手术期处理措施,分析比较两组术后第1天和第5天C反应蛋白(CRP)的变化情况、术后肛门排气排便时间、术后住院天数及住院费用,记录两组术后不良反应及并发症发生情况。结果与对照组相比较,FTS组术后应激水平显著降低,排气排便时间提前,住院时间缩短,住院费用降低(P<0.05),但两组不良反应和并发症无统计学差异(P>0.05)。结论 FTS理念应用于肝癌切除患者围手术期处理是安全、有效的,可加速患者的康复进程。

Objective To investigate the safety and effectiveness of using fast track surgery（FTS） in perioperative period of patients with primary hepatic cancer undergoing liver resection.Methods Forty patients were randomly designated into observation group（using FTS in perioperative period） and control group（using traditional protocol in perioperative period）.The parameters including C-reactive protein（CRP） levels at 1st and 5th day after operation,time of the first passing of flatus and defecation after operation,length of hospital stay,hospitalization expenses between the two groups were compared.The postoperative adverse events and complications of the two groups were also recorded.Results Compared with the control group,FTS management decreased the postoperative stress,accelerated recovery of bowel movement and reduced hospital stay and cost（P0.05）,while the postoperative adverse events and complications of the two groups showed no difference（P0.05）.Conclusions Application of FTS in perioperative management of patients with primary hepatic cancer is safe and effective,and can accelerate the recovery of patients undergoing hepatectomy.