摘要
目的比较胃癌根治术患者采用加速康复外科治疗与传统围手术期处理方法的安全性及有效性。方法选取胃癌患者62例,采用加速康复外科治疗(fast track surgery,FTS)组30例,应用传统治疗方法作为对照组32例,比较2组患者术后住院时间、营养状态变化、肠道功能恢复、费用和并发症。结果 FFS组与对照组相比,术后住院时间缩短,治疗费用减少,术后肠排气时间提前,手术后体质量下降缓慢,差异有统计学意义(P<0.01)。2组患者术后并发症的发生率差异无统计学意义(P>0.05)。结论胃癌患者围手术期经FTS方案治疗,术后康复加快、住院时间缩短、医疗费用下降且安全、有效。
Objective To compare the safety and efficiency of fast track surgery （FTS） and conventional perioperative management in gastric cancer patients undergoing radical gastrectomy. Methods Sixty - two gastric cancer patients were selected. Thirty patients were assigned to receive FTS management, other patients were assigned to receive conventional perioperative care for control group （n = 32 ）. The length of postoperative hospital stay, nutritional status, gut funcition, medical cost and postoperative complications in the two groups were compared. Results FTS group was associated with a significantly shorter postoperative hospital stay, less medical cost, earlier postoperative anus exhaust, and less body weight loss in the postoperative period compared with conventional care group. The postoperative complications rate had no significant differences between two groups. Conclusion FTS in radical gastrectomy patients is safe and efficient during the perioperative period, and it can hasten the recovery of gut function, shorten postoperative hospital stay, and decrease medical cost.
出处
《河北医科大学学报》
CAS
2011年第9期1000-1003,共4页
Journal of Hebei Medical University
关键词
胃肿瘤
康复
手术期间
stomach neoplasms
rahabilitation
intraoperative period
