摘要
目的:观察加速康复外科理念(FTS)在食管癌病人围手术期应用的安全性和临床效果。方法:将88例食管癌手术病人随机分为观察组(FTS组)和对照组,通过检测两组病人术前1 d、术后第1、7天的营养指标和免疫指标的变化,以及消化道症状的表现、并发症、住院费用等,对FTS理念在食管癌围手术期病人的作用进行探讨。结果:观察组病人术后第7天的营养状态指标(血清总蛋白、清蛋白、前清蛋白、转铁蛋白)和免疫功能指标(IgG、IgA、IgM和血总淋巴细胞计数)均明显高于对照组;胃肠功能恢复时间明显早于对照组;住院费用明显少于对照组;住院时间明显短于对照组,两组间比较差异均有显著性统计学意义。结论:食管癌病人围手术期应用FTS理念,对恢复机体的免疫功能,维护正常的代谢功能和促进胃肠功能恢复等有着积极的意义。
Objective ： To observe the effect of fast-track surgery（FTS） in patients with esophage- al cancer. Methods ： A total of 88 cases of esophageal cancer surgery were randomly divided into two groups ： observation group （ FTS group） and control group. The indicators of nutritional and immune were detected in the two groups. The digestive tract symptoms, complications, and hospital charges were com- pared. Results： In the 7th postoperative day in observation group, nutritional and immune indicators were better. Hospitalization costs and time stay were less in observation group. Conclusion： FTS in patients with esophageal cancer can promote the restoration of immune function, nutritional status, and the gastrointestinal function.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第2期72-75,共4页
Parenteral & Enteral Nutrition
基金
金华市科技局课题资助(2013-3-095)
关键词
加速康复外科
食管癌
营养支持
Fast track surgery
Esophageal cancer
Nutritional support
