MDT模式下的ERAS理念在胃癌围手术期中的应用  

The Application of ERAS Concept with the MDT Model in the Perioperative Period of Gastric Cancer

作　　者：郑龙志[1] 郑长悦[1] 郭健[1] 祖斌 林伟[1] ZHENG Longzhi;ZHENG Changyue;GUO Jian;ZU Bin;LIN Wei(Gastrointestinal Surgery Department,The Affiliated Hospital of Putian University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院胃肠外一科,福建莆田351100

出　　处：《莆田学院学报》2020年第2期62-65,88,共5页Journal of putian University

基　　金：福建省教育厅中青年教师教育科研项目(JAT170520);福建省自然科学基金资助项目(2019J01582)。

摘　　要：探讨多学科协作治疗(MDT)模式下的加速康复外科(ERAS)理念在胃癌围手术期中的应用。收集2016年10月—2018年10月莆田学院附属医院收治的胃癌手术患者120例,随机分为ERAS组和对照组,对照组采用常规围手术期处理,ERAS组采用MDT模式的ERAS理念处理,比较两组术后相关指标的变化。结果,ERAS组患者的下床活动时间、第一次进食时间、肛门排气时间、住院时间等明显低于对照组(P<0.05);ERAS组和对照组患者术后并发症的发生率分别为11.7%和31.7%(P<0.05)。结果表明,应用MDT模式下的ERAS理念可有效促进胃癌患者的术后康复,减少手术的相关并发症,缩短住院时间,值得临床进一步推广应用。The paper studied the application of the enhanced recovery after surgery(ERAS)concept with the multiple disciplinary treatment(MDT)model in the perioperative period of gastric cancer.120 patients underwent laparoscopic-assisted radical gastrectomy for gastric cancer in The Affiliated Hospital of Putian University from October 2016 to October 2018.They were randomly divided into ERAS group and control group.The perioperative conditions and incidence rate of complications were recorded and compared between the two groups.The time of off-bed activity,first oral feeding,anal exhaust,and hospital stay were significantly lower in the ERAS group than in the control group(P<0.05);The incidence of postoperative complications was significantly higher in the control group than in the ERAS group(P<0.05).The application of ERAS concept of the MDT model can effectively promote the postoperative rehabilitation of patients undergoing gastrectomy for gastric cancer,reduce the occurrence of postoperative complications,and shorten the duration of hospital stay.It is worthy of further clinical application.

关 键 词：胃癌 围手术期 多学科协作治疗 快速康复外科 

分 类 号：R735.2[医药卫生—肿瘤]