快速康复外科在乳腺癌手术的应用  

Application of fast-track surgery for breast cancer

作　　者：叶正青[1] 钟琰[1] 张王山[1] 丁海[1] 田浩[2] 郭雄波[2] 

机构地区：[1]东南大学附属第二医院,江苏南京210003 [2]广州军区广州总医院

出　　处：《中国妇幼保健》2015年第31期5343-5345,共3页Maternal and Child Health Care of China

基　　金：广东省自然科学基金〔8151001002000010〕;全军医学科研"十二五"基金〔CWS11J270〕

摘　　要：目的观察快速康复外科理念在乳腺癌手术的应用价值。方法将综合应用快速康复外科(FTS)临床路径中的各项技术治疗的164例乳腺癌患者作为FTS组,并选择采用传统方式治疗的164例患者为对照组,比较两组的手术指标和恢复情况。结果 FTS组的麻醉时间、术中输液量少于对照组,差异有统计学意义(P<0.05),FTS的术后住院时间少于对照组,术后恶心呕吐的发生率低于对照组,差异有统计学意义(P<0.05),其余指标两组差异无统计学意义(P>0.05)。结论快速康复外科理念适用于乳腺外科,在围手术期处理过程中发挥积极的作用,值得提倡。Objective To observe the application value of fast-track surgery （FTS） for breast cancer. Methods A total of 164 breast cancer patients treated by various technologies of FTS clinical pathway were selected as FTS group; 164 patients treated by traditional pathway were selected as control group. The operation indexes and recovery conditions in the two groups were compared. Results The anesthetic time and infusion quantity during operation in FTS group were statistically significantly less than those in control group （ P〈0. 05 ） ; the hospitalization time after operation in FTS group was shorter than that in control group, the incidence rate of nausea and vomiting after operation in FTS group was lower than that in control group, there were statistically significant differences （ P〈0. 05 ） ; there was no statistically significant difference in the other indexes between the two groups （P〉0. 05） . Conclusion FTS is suitable for breast cancer, and it can play an important role during perioperative period, which is worthy of advocation.

关 键 词：快速康复外科 乳腺癌 住院时间 

分 类 号：R737.9[医药卫生—肿瘤]