摘要
目的探讨快速康复外科（FTS）在结直肠手术中的应用。方法选取80例患有结直肠疾病、需要行部分结肠切除的患者,随机均分为2组,分别采用FTS新理念治疗（新理念组）及传统方法治疗（对照组）。比较2组术后首次排气、排便时间,恶心,呕吐发生率,并发症发生率以及再入院率和住院总费用。结果新理念组：术后首次排气时间1.0-3.4d,中位数2.4d;首次排便时间1.8-4.2d,中位数2.8d;恶心、呕吐发生率分别为17.5%和7.5%;总并发症发生率5.0%;再入院率5.0%;住院总费用（1.96±0.44）万元（1.37-3.55万元）。对照组：术后首次排气时间1.8-5.2d,中位数2.8d;排便时间2.5-6.0d,中位数3.4d;恶心、呕吐的发生率分别15.0%和10.0%;总并发症发生率22.5%;再入院率2.5%;住院总费用（2.26±0.58）万元（1.84-5.24万元）。2组首次排气和排便时间、并发症发生率、住院总费用比较差别均有统计学意义。结论FTS新理念治疗可以有效促进结直肠术后胃肠道功能的恢复,减少总并发症的发生率,节省住院总费用。
Objective To investigate the feasibility of fast-track surgery in colorectal surgery. Methods Eighty consecutive patients with colorectal diseases admitted for colorectal surgery were randomized into two groups. One group was treated with the new concept of fast track surgery and the other group was treated with the traditional methods of operation. The time of the first flatus and the defecation, the incidence of nausea, vomit, and complication, the rate of readmission and the total cost during hospitalization were compared, respectively. Results The investigation indicated there were no significant differences between the two groups in the incidence of nausea, vomit and the rate of readmission （P〉 0.05）. There were significant differences between the new concept group and the contrast group in the first flatus time 1,median time 2.4 days（1.0-3.4 days） vs 2.8 days（1.8-5.2 days）, P〈0.01], the first defecation time 1,median time 2.8 days（1.8-4.2 days） vs 3.4 days（2.5-6.0 days）, P〈0.01-1, the rate of overall complications [5.0% vs 22.5%, P〈0.05], the total cost during hospitalization [（1.96-0.44） ten thousand Yuan vs （2.26±0. 58） ten thousand Yuan, P〈0.05]. Conclusion The new concept of fast-track surgery can accelerate recovery after colorectal resection, reduce the rate of overall complications and total cost during hospitalization.
出处
《福建医科大学学报》
2007年第3期257-260,共4页
Journal of Fujian Medical University
关键词
快速康复外科
结直肠手术
胃肠功能
fast-track surgery
colorectal surgery
gastrointestinal function
