| 摘要: |
| 目的探索快速康复外科(FTS)对胃癌手术患者各项临床指标及并发症的影响。方法选择2014年8月至2015年12月期间于我院行胃癌根治术的80例患者纳入临床研究,根据其入院时间做好编号并将单双号分作两组,其中40例单号为对照组,采取传统理论指导实施手术,40例双号为观察组,采取快速康复外科理念指导实施手术,分析两组各项临床指标及术后并发症发生情况。结果观察组患者术后首次排气时间(2.30±0.26)d、排便时间(3.46±0.41)d、输液治疗时间(4.38±1.32)d、住院时间(12.03±1.83)d及住院费用(40203.38±213.83)元,较对照组均明显减少,差异有统计学意义(t=6.63,6.82,7.30,7.82,6.88,P<0.05)。观察组患者术后并发症发生率12.50%,较对照组32.50%明显降低,差异有统计学意义(=8.73,P<0.05)。观察组患者术后GQOLI-74各维度评分物质生活(52.98±4.11)分、心理功能(63.45±5.04)分、躯体功能(58.84±4.55)分、社会功能(65.35±5.29)分,较对照组均明显减少,差异有统计学意义(t=6.40,6.15,6.72,7.73,P<0.05)。结论快速康复外科用于胃癌根治术可加速患者康复进程,减少并发症发生,提高生活质量,节省治疗费用,在应用和推广方面价值极高。 |
| 关键词: 快速康复外科 胃癌 并发症 |
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| Effect ofF ast Track Surgery on Clinical Parameters and Postoperative Complications in Patients with Gastric Cancer |
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Cheng Kewei;Tan Zhiyong
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Surgery Department of the People’s Hospital of Yunyang County
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| Abstract: |
| Objective To evaluate the effect of fast track surgery(FTS) on clinical parameters and postoperative complications in patients with gastric cancer. Methods 80 patients treated with radical operation for gastric cancer in our hospital from August 2014 to December 2015 were enrolled in this clinical trial. They were numbered according to the date of admission and grouped into odd and even numbers. Of them,40 cases with odd number as a control group,received operation directed by traditional theory while the other 40 cases with even number as an observation group received operation directed by fast track surgery theory. Clinical parameters and postoperative complications of both groups were analyzed. Results The time to first flatus(2. 30±0. 26 d),defecation(3. 46±0. 41 d),infusion therapy(4. 38±1. 32 d),the length of hospital stay(12. 03± 1. 83 d) and the medical cost(40203. 38±213. 83 yuan) in the observation group were significantly less than those in the control group(t = 6. 63,6. 82,7. 30,7. 82,6. 88,P<0. 05). The incidence of postoperative complications(12. 50% vs. 32. 50%, = 8. 73,P<0. 05) was much lower in the FTS group than in the conventional treatment group. The scores of material life(52. 98 ± 4. 11),physical function(63. 45 ±5. 04),psychological function(58. 84±4. 55) and social function(65. 35 ± 5. 29) of GQOLI-7 in each dimension in the observation group decreased remarkably compared with those in the control group(t = 6. 40,6. 15,6. 72,7. 73,P< 0. 05). Conclusion Application of fast track surgery in the radical operation for gastric cancer can accelerate the rehabilitation process,reduce complications,improve the quality of life and save the cost of treatment,and it is of great value in the application and promotion. |
| Key words: fasttracksurgery gastriccancer complication |
