快速康复外科在胃癌患者围术期的临床应用分析  

Clinical Application of Fast Track Surgery to the Patients with Gastric Cancer in Perioperative Period

作　　者：韩鸿彬[1] 韩保卫[1] 李朝辉[1] 吉晖晖[1] 

机构地区：[1]郑州大学附属洛阳中心医院胃肠胰腺外科,河南省洛阳市471009

出　　处：《中国全科医学》2013年第21期2514-2516,共3页Chinese General Practice

摘　　要：目的探讨快速康复外科在胃癌D2根治术围术期的应用效果。方法选取2009年3月—2011年3月在郑州大学附属洛阳中心医院胃肠胰腺外科行胃癌D2根治术的胃癌患者88例,46例应用快速康复外科治疗(FTS组),42例采用传统围术期治疗方法 (传统治疗组)。对比观察两组患者术后肠鸣音恢复时间、排便时间、平均住院时间,术后清蛋白、C反应蛋白水平和并发症发生率的差异。结果两组患者均痊愈出院,FTS组术后肠鸣音恢复时间、排便时间、平均住院时间短于传统治疗组,术后C反应蛋白水平和并发症发生率均低于传统治疗组,差异有统计学意义(P<0.05)。结论快速康复外科在胃癌患者围术期的应用能缩短患者术后恢复时间,减轻应激反应,加快胃癌患者术后的康复。Objective To investigate the effect of fast track surgery to the patients with gastric cancer in perioperative period.Methods A total of 88 patients with gastric cancer who have been treated with D2 radical gastrectomy were randomly assigned into two groups,46 cases in rapid rehabilitation group（FTS group）,42 cases in traditional treatment group（control group）.The recovery time of gurgling sound,first defecation time,average hospitalization time,complication rate,levels C reactive protein were compared between the two groups.Results The recovery time of gurgling sound,first defecation time and average hospitalization time were shorter in the FTS group than those in the control group,complication rate,the levels of C-reactive protein in the FTS group were significantly lower than those in the control group（P《0.05）.Conclusion When the fast track surgery is used to the patients with gastric cancer in perioperative period,it can shorten recovery time,reduce the stress response and make a quick recovery.

关 键 词：胃肿瘤 快速康复外科 手术期间 外科手术 

分 类 号：R735.2[医药卫生—肿瘤]