快速康复外科技术在胸腔镜肺癌手术中的应用及疗效  

Use and clinical efficacy of fast track surgery in thoracoscopic surgery for lung cancer

作　　者：杨彦龙[1] 蓝斌[1] 李锐雄[1] 

机构地区：[1]汕头市中心医院外三科,广东汕头515031

出　　处：《中华生物医学工程杂志》2016年第2期154-157,共4页Chinese Journal of Biomedical Engineering

基　　金：广东省医学科研基金(B2015111)Found ProgramGuangdong Medical Research Foundation

摘　　要：目的：评价快速康复外科技术在胸腔镜肺癌围手术期中的可行性以及临床疗效。方法分析本院2015年1月至2015年6月86例肺癌手术患者,随机法分为快速康复外科组（FTS组）40例，单一胸腔镜组（对照组）46例，比较二者围手术期相关临床指标。结果所有患者均顺利完成手术，无围术期死亡病例。与对照组相比，FTS组麻醉时间[（3.0±0.4）h vs（4.5±0.3）h，P=0.047）]、术后下床时间[（20.6±2.9）h vs（40.3±5.1）h，P=0.030）]、术后疼痛程度、胸管置留时间[（4.1±0.3）h vs（12.1±4.5） h，P=0.010）]、住院总时间及住院总费用均存在优势，使用快速康复技术并不增加术后并发症（20.0%vs 31.8%，P=0.43）。结论快速康复外科技术在全胸腔镜肺癌围手术期中是安全、经济、有效的。Objective To evaluate the feasibility and clinical efficacy of fast track surgery（FTS）in perioperative period of thoracoscopic surgery for lung cancers. Methods Included in this study were 86 lung cancer patients treated in our hospital between January 2015 and June 2015. These patients were randomly divided into the fast track surgery group（FTS group,n=40）and the single VATS group（control group,n=46）. The clinical indicators at perioperative period were compared between the two groups. Results All patients underwent the surgery successfully,with no perioperative deaths. Compared with the control group, the FTS showed advantages in terms of anesthesia time[（3.0±0.4）h vs（4.5±0.3）h,P=0.047）],bedridden time[（20.6 ± 2.9）h vs（40.3 ± 5.1）h,P=0.030）],postoperative pain,chest tube indwelling time[（4.1 ± 0.3）h vs（12.1 ± 4.5）h,P=0.010）],length of hospital stay and total cost of hospitalization. FTS did not increase the postoperative complications （20.0% vs 31.8%,P=0.43）. Conclusion Fast track surgery is safe and cost？effective for perioperative period of VATS.

关 键 词：康复 胸外科学 肺肿瘤 胸腔镜 

分 类 号：R734.2[医药卫生—肿瘤]