中西医快速康复外科技术在结直肠癌围手术期的应用研究

目的探讨中西医结合快速康复外科（FTS）技术在结直肠癌围手术期中的应用价值。方法回顾性分析2012年3月至2014年3月选择接受结直肠癌根治手术治疗的105例患者的临床资料。结果中西医FTS组的术后首次肛门排气时间较西医快速康复外科（FTS）组及传统方案组快（P〈0．01）。中西医FTS组的失眠、饥饿感、口渴感均较传统方案组轻（P〈0．01），但和西医FTS组比较差异无统计学意义（10〉0．05）；中西医FTS组的疼痛、恶心呕吐及腹胀症状均较西医FTS组及传统方案组轻（10〈0．05，10〈0．01）。3组间术后30d内再手术率和并发症发生率差异无统计学意义（P〉0．05）。术后第5天，中西医FTS组的血清白蛋白较西医FTS组及传统方案组高（10〈0．01）。中西医FTS纽满意度较传统方案纽高（P〈0．01），但与西医FTS纽比较差异无统计学意义（P〉0．05）。结论中西医FTS技术可以有效促进结直肠癌患者术后康复，缓解患者术后症状以及增强营养支持，而且具有良好的安全性，获得患者更高的满意度。

Objective To study the effect of integrated traditional Chinese and western medicine fast-track surgery （ FTS ） in the perioperative period of colorectal cancer. Methods The clinical data of 105 patients who received radical operation of colorectal cancer from March 2012 to March 2014 were analyzed retrospectively. Results The first flatus after operation of the integrated traditional Chinese and Western medicine FTS group was earlier than that of the traditional group and the western medicine FTS group （ P〈0.01 ） . The insomnia, starvation, thirsty of the Integrated traditional Chinese and Western medicine FTS group were lighter than those of the traditional group （P〈0.01） . There was no difference between the western medicine FTS group and the Integrated traditional Chinese and Western medicine FTS group in the insomnia, starvation, thirsty （ P〉0.05 ） . The pain, nausea, vomitting and abdominal distension of the Integrated traditional Chinese and Western medicine FTS group were lighter than those of the traditional group and the western medicine FTS group （_0〈0.05 or 0.01 ） . There was no difference between the three groups in the reoperation rate and complications （ P〉0.05 ） . The level of ALB of the Integrated traditional Chinese and Western medicine FTS group were higher than that of the traditional group and the western medicine FTS group on the fifth day after operation （ P〈0.01 ） . The degree of satisfaction of the Integrated traditional Chinese and Western medicine FTS group was higher than that of the traditional group and the western medicine FTS group （ P〈0.01 ） . Conclusion The Integrated traditional Chinese and Western medicine FTS in the perioperative period of colorectal cancer was safe, could promote recovery, reduce symptoms, and improve nutritional support, and is more highly appreciated.