【摘要】 目的探讨快速康复外科(fast track surgery,FTS)在神经外科治疗中应用的安全有效性。方法选取河南省人民医院神经外科2012年6月至2014年3月行手术患者115例。将患者分为2组:FTS组62例,传统治疗组53例。分别按照FTS方案、传统方案进行治疗,比较两组各项临床指标、术后住院天数和住院费用。结果与传统治疗组比较,FTS组在术后头疼头晕(4:13)、恶心呕吐(5:15)、以及颅内感染(2:8)和肺部感染(1:11)发生率上均明显低于传统治疗组,差异均有统计学意义(P<0.05);FTS组在术后住院天数([8±1)d vs.(11±2)d],住院治疗费用[(4.58±0.75)万元vs(.5.78±0.64)万元]与传统治疗组比较差异有统计学意义(P<0.05)。结论 FTS措施在神经外科的应用是一种全新的外科理念,其在减少术后并发症、缩短住院时间、降低住院费用等方面较传统治疗方法有明显优势。更多还原

【Abstract】 ObjectiveTo investigate the feasibility and effectiveness of fast track surgery(FTS) in neurosurgery.MethodsOne hundred fifteen patients who underwent neurosurgery surgery in Henan Province People’s Hospital from June 2012 to March 2014 were enrolled in this study. All the patients were divided into FTS group(62 cases) and the traditional operation group(53 cases). The clinical index, postoperative hospital stay and hospitalization cost were compared between the two groups.ResultsThe clinical index were significantly lower in FTS group than in traditional operation group(P<0.05). Length of hospital stay(days) and hospitalization cost of FTS group were significantly shorter and lower in FTS group compared with traditonal operation group(8±1 vs. 11±2 days and RMB 4.58 ±0.75 vs. 5.78 ±0.64 ten thousand, respectively)(P<0.05).ConclusionFTS in neurosurgery operation is an all-new concept for surgery which can effectively reduce postoperative complications, shorten length of hospital stay, decrease hospitalization cost and promote postoperative recovery.更多还原