快速康复外科在胃癌围手术期的应用  

Application of fast track surgery in gastric cancer during perioperative period

作　　者：康慧鑫[1] 彭丹丹[1] 蒋周凌[1] 陈永霞[1] 郭成佳[1] 张玉新[1] 

机构地区：[1]广州军区广州总医院普通外科,广东广州510010

出　　处：《局解手术学杂志》2010年第5期390-391,393,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨快速康复外科(FTS)理念在胃癌围手术期应用的可行性和效果。方法选取120例胃癌需行根治术的患者,随机分为FTS理念组及对照组(传统方法治疗),比较2组术后首次排气时间、首次排便时间、恶心呕吐发生率、手术并发症发生率、术前术后营养状态、住院时间及住院总费用等多项指标。结果采用FTS理论治疗术后首次排气时间、首次排便时间和住院时间缩短,恶心呕吐发生率、手术并发症发生率降低,术前术后营养状态良好,住院总费用降低,与对照组比较具有显著性差异(P<0.05)。结论 FTS理念可有效减轻手术的损伤,促进胃癌患者术后的康复,减少术后并发症发生,缩短住院时间,并节省住院总费用。Objective To investigate the feasibility and effectiveness of fast track surgery（FTS） for gastric cancer during perioperative period.Methods A total of 120 patients with gastric cancer who need radical operations were randomized into two groups：FTS group and control group.The exact time of the first flatus and defecation,rates of nausea and vomiting,postoperative complications,pro-operative and post-operative nutritional state,hospitalization duration and fees were compared between the two groups respectively.Results Significant differences were observed between the two groups.Comparing with control group,the first flatus and defecation time as well as hospital duration of FTS group were shortened,rates of nausea and vomiting and postoperative complications were decreased,pro-operative and post-operative nutritional state were better and the hospital fees were lowered.Conclusion The new concept of FTS can apparently lessen the surgical attacking,accelerate the recovery after gastric resection,shorten the hospitalization duration,and reduce the complications and total cost during hospitalization.

关 键 词：快速康复外科 胃癌 围手术期 外科治疗 

分 类 号：R735.2[医药卫生—肿瘤]