快速康复外科在腹腔镜结直肠癌围手术期中的应用  

Application of fast-track surgery in laparoscopic colorectal cancer operation in perioperative period

作　　者：龙结根[1] 蒋志宏[1] 龙凤[2] 张才全[2] 

机构地区：[1]重庆市巴南区人民医院普外科,重庆401320 [2]重庆医科大学附属第一医院胃肠外科,重庆400016

出　　处：《西部医学》2015年第1期102-104,107,共4页Medical Journal of West China

摘　　要：目的探讨快速康复外科理念应用于腹腔镜结直肠癌根治术治疗中的临床效果。方法对100例行腹腔镜结直肠癌根治手术患者,随机分成实验组及对照组各50例,分别采取快速康复方案(实验组)及传统治疗方案(对照组),比较两组患者临床治疗效果。结果实验组患者首次排气时间、住院时间、住院费用及并发症均明显比对照组患者减少,差异均具有统计学意义(P<0.05)。结论将快速康复理念应用于结直肠癌手术患者能减轻患者的心理负担,减少医疗费用,缩短住院天数,提高病床周转率,使有限的医疗资源得到充分利用,可在临床推广应用。Objective To investigate the application of the idea of fast-track surgery in laparoscopic colorectal canc- er surgery. Methods 80 patients underwent laparoscopic radical operation of colorectal cancer patients were randomly di- vided into the experimental group and the control group. The experimental group was treat with fast track surgery and the control group with conventional treatment. The clinical curative effect was observed. Results The first exhaust time, hospitalization time, hospital costs and complications of the experimental group were significantly better than that of the conventional group （P〈0.05）. Conclusion In patients with colorectal cancer operation, the use of fast-track surgery can reduce the psychological burden of patients, medical costs, shorten the days in hospital and improve the turnover rate of hospital beds.

关 键 词：快速康复外科 腹腔镜结直肠癌手术 围手术期 

分 类 号：R473.6[医药卫生—护理学] R735.35[医药卫生—临床医学]