快速康复外科理念在食管癌病人围术期应用的效果分析  

The effect of fast track surgery on patients with perioperative esophageal cancer

作　　者：刘淼[1] 吴倩[1] 高建[1] 王双 姜亚芳 LIU Miao;WU Qian;GAO Jian(Department of Chest surgery, Cancer Hospital Chinese Academy of Medical Sciences,Beijing 100021, China)

机构地区：[1]中国医学科学院肿瘤医院胸外科,北京100021 [2]北京协和医学院护理学院

出　　处：《临床外科杂志》2019年第5期419-422,共4页Journal of Clinical Surgery

基　　金：北京协和医学院临床护理学系科研资助项目(11-01-201603)

摘　　要：目的探讨快速康复外科理念在食管癌病人围手术期的应用及对病人的临床结局的影响。方法食管癌根治术的病人139例,根据围术期治疗方式不同分为两组,研究组70例,围手术期采用快速康复外科理念进行处理;对照组69例,围手术期按常规处理。结果研究组术后排气时间、术后拔除胸腔引流管时间及术后住院时间均少于对照组(P<0.05);两组手术时间及住院费比较差异无统计学意义(P>0.05)。研究组和对照组不适症状的发生率分别为64.3%(45/70)和91.3%(63/69),差异有统计学意义(P<0.05),两组并发症比较差异无统计学意义(P>0.05)。结论食管癌病人围手术期应用快速康复外科理念,可促进术后肠功能恢复,减少术后不适症状的发生率,从而改善临床结局。Objective To evaluate the influence of fast-track surgery in perioperative period on the clinical outcomes of patients with esophageal cancer.Methods Clinical data of 139 patients with esophageal cancer were retrospeetively analyzed.70 cases(study group)were treated with fast track surgery and 69 cases(control group)were treated according to routine protocol in the perioperative period.Results The postoperative exhaust time,time to drainage tube removal,and length of hospital stay were significantly shorter in the study group than those in the control group(all P<0.05).There was no significant difference between the two groups in the operative time and hospitalization costs(P>0.05).The overall postoperative uncomfortable symptom rate was 64.3% in the study group and 91.3% in the control group(P<0.05).But the complication rate as no significant difference between the two groups(P>0.05).Conclusion Fast-track surgery in the perioperative period for patients with esophageal cancer can promote bowel function recovery and improve the clinical outcome.

关 键 词：食管 围手术期 快速康复外科 

分 类 号：R735.1[医药卫生—肿瘤]