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结直肠癌病人应用加速康复外科的对照研究 被引量:18

Clinical study of fast track surgery in colorectal cancer patients
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摘要 目的:应用加速康复外科(FTS)和常规治疗方案的结直肠癌病人在医疗效率指标和费用方面进行对照研究。方法:选取结直肠癌病人100例,50例应用常规治疗方案作为对照组,50例应用FTS方案为FTS组,比较两组病人住院时间、费用和并发症。结果:FTS组病人住院时间明显短于对照组,差异有非常显著性意义(P<0.01)。FTS组病人的平均住院费用亦远低于对照组(P<0.01)。两组病人并发症的发生率无显著性差异(P>0.05)。结论:结直肠癌病人围手术期经FTS方案治疗,术后康复加快,住院时间缩短,医疗费用下降。 Objective : Control study in therapeutic efficiency and costs of fast track surgery programme was carried out in colorectal cancer patients. Methods: 100 colorectal cancer patients were selected, 50 cases treated with conventional therapy as control group and 50 cases treated with fast-track surgery programme. The hospital stay, preoperative hospital stay, postoperative hospital stay, hospitalization expenditure and complication were compared between the 2 groups. Results: There was significant difference(P 〈 0.01 ) in hospital stay between FTS group [ ( 12.6± 4.9 ) days ] and control group [ ( 18.1 ±4.4) days ]. Postoperative stay was obviously shortened in FTS group compared to control group [ (6.7± 3.5) d vs ( 11.3 ± 3.8 ) d ,P 〈 0.01 ]. Hospitalization expenditure in FTS group was lower than that in control group. The complication was not significantly different between the two groups. Conclusion: FTS treatment can accelerate postoperative rehabilitation and elevate clinical efficiency in colorectal cancer patients during operation period.
出处 《肠外与肠内营养》 CAS 北大核心 2009年第2期77-80,共4页 Parenteral & Enteral Nutrition
基金 江苏省社会发展基金资助(07Z028)
关键词 结直肠癌 加速康复外科 Coloreetal cancer Fast track surgery
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  • 1Wilmore DW. From Cathbertson to Fast-Track Surgery :70 years of progression in reducing stress in surgical patients[ J]. Ann Surg,2002,236(5 ):643-648.
  • 2Kehlet H,Btichler MW, Beart RWJr, et al. Care after colonic operation- is it evidence-based? Results from a multinational survey in Europe and the United states [ J ]. J Am Coil Surg,2006,202 ( 1 ) :45-54.
  • 3Basse L, Madsen L, Kehlet H. Normal gastrointestinal transit after colonic resection using epidural analgesia, enforced oral nutrition and laxative[ J ]. Br J Surg ,2001,88 ( 11 ) : 1498-1500.
  • 4Henriksen MG,Jensen MB, Hansen HV, et al. Enforced mobilization, early oral feeding and balanced analgesia improve convalescence after coloreetal surgery [ J ]. Nutrition, 2002,18 (2) : 147- 152.
  • 5Slim K, Vicaut E, Panis Y, et al. Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation [ J ]. Br J Surg,2004,91 ( 9 ) : 1125-1130.
  • 6Bucher P, Gervaz P, Soravia C, et al, Randomized clinical trial of mechanical bowel preparation versus no preparation before elective left-sided colorectal surgery [ J ]. Br J Surg, 2005,92 ( 4 ) : 409-414.
  • 7Cheatham ML, Chapman WC, Key SP, Sawvers JL. A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy [ J ]. Ann Surg, 1995,221 ( 5 ) :469 -478.
  • 8Stewart BT,Woods RJ,Collopy BT,et al. Early feeding after elective open colorectal resections:a prospective randomized trial [ J ]. Aust N Z J Surg,1998,68(2) :125-128.
  • 9de Aguilar-Nascimento JE, Goelzer J. Early feeding after intestinal anastomoses : risks or benefits? [J]. Rev Assoc Med Bras,2002, 48 (4) :348-352.
  • 10Correia MI, da Silva RG. The impact of early nutrition on metabolic response and postoperative ileus [ J ]. Curr Opin Clin Nutr Metab Care,2004,7(5 ) :577-583.

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