摘要
[目的]探讨乳腺癌术后早期促康复的临床效果和意义。[方法]将临床92例乳腺癌患者随机分为治疗组45例和对照组47例,治疗组给予中西医结合快速康复治疗,包括术前2h进饮,术后早期进食,早期拔导尿管,早期下床活动及中医耳穴压豆,中药和中医特色护理等综合治疗,两组其余治疗相同。[结果]治疗组术后24h舒适度评分和术后出院时间分别是(4±2.1)分和(6±2.2)d,显著优于对照组(8±3.2)分和(8±2.4)d;同时治疗组患者总引流管引流量和皮下积液发生率分别为(470±56.7)mL和8.9%,优于对照组(756±132.5)mL和17.0%;两组均没有切口感染发生,治疗组误吸发生率和尿路感染发生率均是2.2%,对照组分别是0%和6.4%,差异无统计学意义(P>0.05)。[结论]中西医结合的快速康复在多种外科疾病中均有意义,在乳腺癌术后的恢复中可以让患者获益更大。
[Objective] To investigate the clinical effect and significance of rapid postoperative recovery in breast carcinoma.[Methods] Of 92 cases who were randomly assigned to this research,45 underwent rapid postoperative recovery with integrative medicine in treatment group including： drink clear liquid 2 hours prior to the operation;early postoperative resumption of oral intake;less days of urine indwelling cathete;early ambulation;auricular points plaster and the other Chinese herb and nursing care for recovery;47 underwent routine.[Results] There were significant differences in scores of the patient＇s well-being at 24 hours（4±2.1 vs 8±3.2） and the length of hospital stay（8±3.2 vs 8±2.4）.The volume of draining and rate of subcutaneous effusion in the treatment group were remarkably less than control group（P0.05 for both comparisons）.Rates of aspiration and urinary tract infection were all 2.2% in treatment group and the respective rates were 0% and 6.4% in control group.What＇s more,there was no incision infection in both groups.[Conclusion] Fast track surgery with integrative medicine is beneficial in many surgical diseases for rapid postoperative recovery,especially in breast carcinoma.
出处
《浙江中医药大学学报》
CAS
2013年第1期35-37,40,共4页
Journal of Zhejiang Chinese Medical University
关键词
乳腺癌
快速康复外科
中西医结合
breast carcinoma
fast track surgery
integrative medicines of TCM cmd WM
