快速康复外科应用于胃癌手术的临床观察

Clinical observation on application of fast-track surgery in gastric cancer operation

目的探讨快速康复外科(FTS)应用于胃癌手术的有效性及安全性。方法选择该院2012年1月至2016年5月196例行胃癌手术患者,将其分为FTS组和传统组,每组98例。比较两组患者术后首次排气、排便时间,住院时间、住院费用及术后并发症发生情况。结果 FTS组较传统组患者手术后首次排便、排气时间提前,住院时间减少,住院费用降低,两组比较差异有统计学意义(P<0.05)。两组肺部并发症发生率比较差异有统计学意义(P<0.01),病死率、再入院率、总体并发症发生率比较差异无统计学意义(P>0.05)。结论 FTS应用于胃癌手术可以促进术后胃肠功能更快地恢复,缩短住院时间,降低住院费用。

Objective To investigate the effectiveness and safety of fast-track surgery （FTS） application in gastric cancer operation. Methods A total of 196 cases of gastric cancer operation in our hospital from January 2012 to June 2016 were selected and divided into the FTS group and tradition group, 98 eases in each group. The postoperative first time exhaust and defecation time, hospitalization stay length, hospital costs and postoperative complications were compared between the two groups. Results The postoperative first time exhaust and defecation time in the FTS group were earlier than those in the tradition group,the hospitaliza- tion duration was decreased and hospitalization costs were reduced, the differences between the two groups were statistically signifi- cant（P〈0. 05）. The occurrence rateof pulmonary complications had statistically significant difference between the two groups（P〈 0.05）. Digestive tract fistula, fatality rate, re-hosplitalization rate and occurrence rate of overall complications.had no statistical difference between the two groups（P〉0. 05）. Conclusion The application of FTS in gastric cancer operation can promote more rapid recovery of gastrointestinal function,shortens hospitalization stay and reduces the hospitalization costs.