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应用加速康复外科治疗结直肠癌的疗效和安全性观察
Efficiency and safety of fast-track surgery in colorectal cancer patients
【摘要】 目的观察加速康复外科治疗结直肠癌的疗效和安全性。方法病人随机分为加速康复组和传统治疗组,每组70例。观察两组的肠蠕动恢复时间,排气时间,排便时间,住院费用,再入院率及并发症。结果加速康复外科组的肠蠕动恢复时间分别为(8.01±1.74)h和(13.05±3.07)h。加速康复外科组的排气、排便时间分别为(50.31±11.21)h和(79.46±10.55)h,明显早于传统治疗组的(78.46±12.93)h和(101.07±11.44)h。加速康复外科组的住院费用和住院时间明显少于传统治疗组。加速康复组肺部感染、泌尿系统感染、肠梗阻、咽喉炎低于传统治疗组(P<0.05)。结论加速康复外科治疗结直肠癌是有效和可靠的。
【Abstract】 Objective To investigate the efficiency and safety of fast track surgery(FTS) in colorectal cancer patients.Methods 140 cases were divided into two groups randomly.One group was treated with FTS,and another group was treated with conventional therapy.Results The time to bowel movement in the FTS group and the conventional group was(8.01 ± 1.74)h and(13.05±3.07)h,respectively.The times to first exhaust and defecation of anus were earlier significantly than the conventional group.The hospitalization expenditure of the fast-track surgery was less than that in the conventional group.The hospital stay was shorter in the FTS group than that in the conventional group.The rates of the pulmonary infection,urinary infection,ileus and pharyngitis in the FTS group decreased markedly than that in the conventional group.The readmission rate was not significandy different between the two groups.Conclusion Fast-track surgery is a safe and effective approach for colorectal cancer.
- 【文献出处】 中国实用外科杂志 ,Chinese Journal of Practical Surgery , 编辑部邮箱 ,2009年S2期
- 【分类号】R735.34
- 【下载频次】104