快速康复外科在肺癌根治术中的价值  

Value of fast track surgery in radical operation of lung cancer

作　　者：栗家平[1] 杨小龙[1] 丁伯应[1] 龚荣福[1] 

机构地区：[1]皖南医学院附属弋矶山医院胸心外科,安徽芜湖241001

出　　处：《中国现代医学杂志》2016年第22期108-111,共4页China Journal of Modern Medicine

摘　　要：目的探讨快速康复外科(FTS)在肺癌根治术中的价值。方法将经病理证实为肺癌的132例患者,分为实验组(FTS组)97例和对照组35例。实验组在围手术期运用快速康复措施对患者进行护理和治疗;对照组则采用传统的手术方法和护理方法。比较两组患者术后恢复情况及并发症发生情况。结果实验组患者在术后胸管放置时间、术后开始出现通气、排便时间及住院时间均明显低于对照组患者(P<0.05);FTS组患者术后切口感染、肺部感染等并发症发生率低于对照组患者(P<0.01);FTS组患者"抑郁"、"焦虑"评分明显低于对照组(P<0.01),而FTS组患者"日常生活"、"社会活动"评分明显高于对照组(P<0.05)。结论快速康复外科运用于肺癌根治术有利于患者术后快速康复,减少患者并发症的发生率。Objective To investigate the application of fast track surgery （FTS） to radical operation for lung cancer. Methods A total of 132 patients diagnosed with lung cancer were randomly divided into study group （FTS group, 97 cases） and control group （35 cases）. The study group was treated with FTS in the perioperative period, and the control group was treated with traditional operation and nursing intervention. The postoperative recovery and complications were detected and compared between both groups. Results The FTS group showed shorter time of chest intubation, first defecation and hospital stay, and quicker recovery of bowel function than the control group （ P〈 0.05）. Compared with the control group, the FTS group had lower incidences of incision infection and lung infection （ P〈0.01）. Depression and anxiety scores of the FTS group were significantly lower than those of the control group （ P〈0.01）. However, daily life and social activity scores of the FTS group were obviously higher than those of the control group （ P〈 0.05）. Conclusions FTS applied to radical operation of lung cancer is beneficial to patients＆#39; recovery and reducing the incidence of complications.

关 键 词：快速康复外科 肺癌根治术 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]