快速康复外科在食管癌外科手术中的应用

Application of Fast Track Surgery in Esophageal Cancer Surgical Operation

目的:探讨快速康复外科(FTS)技术在食管癌患者围手术期应用的安全性和有效性。方法:将入选接受择期手术的食管癌患者随机分为传统对照组(30例)和快速康复组(30例)。对照组采用传统的围手术期处理方案;快速康复组采用新型围手术期处理方案,主要措施包括缩短患者术前禁食时间、术前口服含碳水化合物的液体、术前不常规灌肠、术中维持患者体温、控制补液量、术后早期肠内营养支持、早期拔除引流管、下床活动和采取有效的镇痛措施等。结果:与传统对照组相比,FTS组术后住院时间及静脉输液时间明显缩短,治疗费用减少,术后肠道排气时间提前,差异均有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论:FTS技术治疗围手术期食管癌患者是安全、有效的,可加快肠道功能恢复、减少治疗费用、缩短住院时间,促进患者早期康复。

To investigate the safety and efficiency of fast track surgery（FTS） to the patients with esophageal cancer in peri operation period.Methods： To divide the selected patients with esophageal cancer in peri operation period randomly into conventional control group（30 cases） and rapid rehabilitation group（30 cases）.The control group used the traditional peri operation period processing scheme;rapid rehabilitation group received new peri operation period processing scheme,the main measures include the shortening preoperative fasting time,preoperative oral carbohydrate containing liquid,unconventional enema preoperatively,maintaining of the patient＇s temperature during operation,controlling of the fluid replacement,early postoperative intestinal nutrition support,early removal of drains,getting out of bed and take effective analgesic measures.Results： Compared with the conventional control group,the time of postoperative hospitalization and intravenous infusion of group FTS significantly shortened,the cost of treatment reduced,postoperative intestinal tract exhaust time advanced the schedule,the differences were statistically significant（P 0.05）;the differences between the two groups＇ complication rate are not statistically significant（P 0.05）.Conclusion： FTS technique in the treatment of peri operation period in patients with esophageal cancer is safe,effective,accelerating the recovery of bowel function,reducing the costs of the treatment,shortening the time of hospitalization,promoting the early rehabilitation of the patients.