快速康复外科理念在乳腺癌根治术患者围手术期的应用与效果分析

Application and Effect Analysis of Fast Track Surgery in Perioperative Care for Patients of Radical Mastectomy

目的探讨快速康复外科(FTS)理念在乳腺癌根治术患者围手术期的应用效果。方法选取140例乳腺癌患者随机分为对照组和FTS组,每组70例;对照组给予常规护理措施,而FTS组给予快速康复外科理念流程干预措施;比较两组患者术后临床恢复时间、并发症及总有效率等指标。结果术后FTS组的进食时间、下床时间、引流时间、切口愈合时间及住院时间均明显优于对照组(p<0.01);FTS组并发症发生率为7.14%,明显低于对照组的24.29%(p<0.01);FTS组临床疗效总有效率为95.71%,高于对照组的82.86%(p<0.05)。结论乳腺癌根治术患者围手术期实施快速康复外科流程干预,可促进患者术后快速康复,减少并发症发生率,提高临床效果,改善预后。

Objective To explore the effect of fast track surgery(FTS)in perioperative care for patients of radical mastectomy.Methods A total of 140 breast cancer patients were randomly divided into the control group and FTS group,each containing 70 cases.The control group was given routine care,while the FTS group received FTS interventions.The indicators of postoperative recovery time,incidence rate of complications and overall response rate were compared between the two groups.Results The time for eating,out-of-bed activities,drainage,incision healing and hospitalization in the FTS group was significantly shorter than that in the control group(p<0.01).The incidence rate of complications in the FTS group was 7.14%,significantly lower than 24.29%in the control group(p<0.01).The overall response rate in the FTS group was 95.71%,higher than 82.86%in the control group(p<0.05).Conclusion FTS interventions in perioperative care for patients of radical mastectomy can promote the rapid recovery of patients after operation,reduce the incidence rate of complications,and improve the clinical effect and prognosis.