中西医快速康复路径在肺癌围术期的应用  

作　　者：王军[1] 董礼文[1] 杨勇[1] 陈兵 鲁伟 谢悦[1] 谢柏胜 郑兆伟 李雄伟 

机构地区：[1]杭州市中医院,310007 [2]杭州市丁桥医院(杭州市中医院丁桥院区),310021

出　　处：《浙江临床医学》2022年第5期678-680,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划科研基金项目(2019ZA081);浙江省中医药科技计划青年人才基金项目(20212Q063)。

摘　　要：目的 探讨中西医快速康复路径在肺癌围术期中应用的可行性和安全性.方法 选择2017年1月至2019年12月接受胸腔镜手术治疗患者93例,随机分为观察组与对照组,观察组采用中西医快速康复路径管理,对照组采用快速康复路径管理.比较两组患者一般资料、手术情况、肝肾功能指标、术后并发症发生率、症状体征分级量化标准评分、术后住院时间.结果 观察组术后住院时间、术后第3、7天症状体征分级量化标准中的胸闷、自汗、乏力三项评分比对照组明显改善(P<0.05).结论 肺癌围术期应用中西医快速康复路径,缩短术后住院时间、改善临床症状,临床安全性可靠,有助于患者术后康复.Objective To explore the feasibility and safety of the application of integrated traditional Chinese and Western medicine rapid rehabilitation pathway in perioperative period of lung cancer.Methods 93 patients undergoing thoracoscopic surgery from January 2017 to December 2019 were randomly divided into 2 groups,namely experimental group and control group.The general data,operation situation,liver and kidney fimction indexes,incidence of post-operative complications,symptoms and signs grading quantitative standard score,and post-operative hospitalization time were recorded and compared between two groups.Results The time of post-operative hospitalization of group experimental was significantly improved compared to group control.The items chest tightness,spontaneous sweating and fatigue of the symptoms and signs grading quantitative standard score of the experimental group on the 3rd and 7th day after operation were significantly improved compared to those of the control group.Conclusion In perioperative period of lung cancer,the application of integrated traditional Chinese and Western medicine rapid rehabilitation pathway can shorten the time of hospitalization,improve clinical symptoms,and be reliable in clinical safety and help the patients recovery after operation.

关 键 词：肺癌 中西医结合 围术期 加速康复外科 

分 类 号：R47[医药卫生—护理学]