快速康复外科在肺癌胸腔镜手术围术期的应用  

Application of Fast Track Surgery in Thoracoscopic Surgery for Lung Cancer

作　　者：张霞[1] 郭昌莹[1] ZHANG Xia;GUO Changying(Jiangxi Cancer Hospital,Nanchang,330029)

机构地区：[1]江西省肿瘤医院,330029

出　　处：《实用癌症杂志》2018年第12期2019-2022,共4页The Practical Journal of Cancer

摘　　要：目的探讨快速康复外科(FTS)在肺癌胸腔镜手术围术期的应用效果。方法选取200例行胸腔镜手术的肺癌患者,其中予传统围手术期康复治疗的90例肺癌患者作为对照组,实施FTS理念的110例肺癌患者为实验组,观察比较2组患者术后康复情况及肺功能改善情况。结果实验组患者在术后下床活动时间、术后胃肠功能恢复时间、胸腔引流管放置时间及住院时间均低于对照组(P <0. 05),术后肺不张、肺部感染、心律失常等并发症发生率差异无统计学意义(P> 0. 05)。肺功能入院至术前改善指标(MVV、FVC、FEV1)高于对照组(P <0. 05),术后3天NRS评分明显降低(P <0. 05)。结论快速康复外科在胸腔镜肺癌根治术围手术期的应用效果显著,可快速术后康复,减轻患者的疼痛,缩短住院时间,值得临床推广应用。Objective To explore the application effect of fast track surgery(FTS)in lung cancer patients treated with thoracoscopic surgery.Methods A retrospective analysis of 200 cases of lung cancer confirmed by pathology were conducted,of which 90 cases of lung cancer patients treated with traditional perioperative rehabilitation was the control group.110 cases of lung cancer patients treated with FTS concept was the experimental group.Results The time of ambulation,time of ventilation,time of thoracic drainage tube and the time of hospitalization of the experimental group were lower than those of the control group(P<0.05).There was no significant difference in pulmonary atelectasis,pulmonary infection and arrhythmia after operation(P>0.05).The pulmonary function was higher than that of the preoperative improvement(MVV,FVC,FEV1)of the control group(P<0.05),the NRS score decreased significantly 3 days after operation(P<0.05).Conclusion The application of rapid rehabilitation surgery in the perioperative period of thoracoscopic lung cancer is remarkable.It can quickly recover,reduce the pain of the patients and shorten the time of hospitalization.It is worthy of clinical application.

关 键 词：肺癌 快速康复外科 围手术期 

分 类 号：R734.2[医药卫生—肿瘤]