高风险结直肠癌患者快速流程模式的临床应用  

Application of fast-track surgery in high-risk colorectal cancer patients

作　　者：赵娜[1,2,3] 杨廷翰[1,2,3] 郝晋[1,2,4] 蒲怡[1,2,3] 汪晓东[1,2] 李立[1,2] 

机构地区：[1]四川大学华西医院胃肠外科中心,四川成都610041 [2]四川大学华西医院MCQ团队,四川成都610041 [3]四川大学华西临床医学院,四川成都610041 [4]四川大学华西口腔医学院,四川成都610041

出　　处：《中国现代普通外科进展》2011年第4期269-272,共4页Chinese Journal of Current Advances in General Surgery

基　　金：四川省科技厅支撑计划项目(2010SZ0071)

摘　　要：目的:探讨快速流程应用于高风险结直肠癌患者的可行性和安全性。方法:回顾性研究2007年11月—2008年12月264例结直肠癌患者的临床资料,分析不同管理模式下患者早期恢复情况及快速流程模式的完成情况。结果:术后早期康复方面,快速流程(FT)组首次下床时间和首次经口进食时间短于传统组且差异有统计学意义(P<0.05);术后管道管理方面,首次拔除尿管时间FT组早于传统组,差异有统计学意义(P<0.05);术后住院时间方面,FT组也明显短于传统组,差异有统计学意义(P<0.05)。对于术后并发症发生情况,2组术后并发症发生率的差异无统计学意义(P>0.05)。结论:在高风险结直肠癌患者中快速流程是安全可行的,可以促进患者早期康复,缩短住院时间,对提高高风险结直肠肿瘤患者围手术期管理质量有着重要的推动作用。Objective： To discuss the safety of high-risk colorectal cancer with fast-track surgery.Methods： From November 2007 to September 2008,264 high-risk colorectal cancer patients were analyzed retrospectively.Postoperative early rehabilitations and implementation of fast-track rectal surgery were studied and compared.Results： In early rehabilitation,first time of ambulation,oral intake,urinary catheter and postoperative hospital stay of FT group were significantly earlier than those of traditional group,while there is no statistcical significance in flatus,use of nasogastric tubes,and drains.There is also no statistical significance in postoperative morbidity between the two groups.Conclusion： Fast-track rectal surgery for high-risk colorectal cancer is safe and can accelerate recovery with decreased length of stay and improve life quality of the patients.

关 键 词：结直肠癌 快速流程 

分 类 号：R735.34[医药卫生—肿瘤] R619[医药卫生—临床医学]