快速康复外科在重度心肺功能不全结直肠癌患者中的应用

Application of Fast Track Surgery in Colorectal Cancer Patients with Severe Cardiopulmonary Insufficiency

目的 研究快速康复外科(fast track surgery, FTS)对重度心肺功能不全结直肠癌患者围手术期的影响及其临床意义.方法 收集2016年6月-2018年6月28 例行结直肠癌根治术的重度心肺功能不全的患者,观察术前做准备时间、术后肛门排气时间、术后住院时间及并发症发生率.结果 术后出现肺部感染2 例、心衰1 例、房颤2 例;术前准备时间4~10 d,术后肛门排气时间2.5~4.5 d;术后住院时间7~12 d.结论 快速康复外科对促进结直肠癌病人围手术期的治疗,特别是对重度心肺功能不全结直肠癌患者,较传统治疗手段具有一定优势,可在相应人群中推广.

Objective To explore the effect and clinical significance of fast track surgery (FTS) on the perioperative period of colorectal cancer patients with severe cardiopulmonary insufficiency. Methods From June 2016 to June 2018, 28 patients with severe cardiopulmonary insufficiency with radical resection of colorectal cancer were collected,to observe the preoperative preparation time, postoperative anus exhaust time, postoperative hospital stay time and incidence of complications. Results There were 2 cases of pulmonary infection, 1 case of heart failure, 2 cases of atrial fibrillation. The preoperative preparation time was 4-10 d, the time of anal exhaust was 2.5-4.5 d, and the postoperative hospitalization time was 7-12 d. Conclusion Compared with conventional treatment, the fast track surgery has a certain advantage in promoting the perioperative treatment of colorectal cancer patients, especially for patients with severe cardiopulmonary insufficiency, which can be popularized in the corresponding population.