摘要
目的探讨多学科合作(MDT)模式下快速康复外科(FTS)理念在胃肠道肿瘤围术期中应用的可行性和效果。方法我院2010年9月—2011年11月收治的胃肠道肿瘤患者60例,随机分为研究组(MDT模式下FTS流程组,n=30)和对照组(传统方法处理组,n=30),比较两组患者术后胃肠功能恢复时间、首次经口进食时间、手术并发症发生率、术后首次辅助治疗时间等。结果两组患者均康复出院。研究组术后胃肠功能恢复时间、首次经口进食时间均较对照组缩短(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05);术后首次辅助治疗时间由于对照组流失率高,未进行统计学比较。结论 MDT模式下FTS流程在胃肠道肿瘤患者围术期处理过程中安全、有效,有利于减少患者痛苦,加速术后的恢复,有助于提早进行后期辅助治疗。
Objective To investigate the feasibility and effectiveness of fast track surgery（FTS）combining multi-disciplinary treatment（MDT）for gastrointestinal tumor during perioperative period.Methods 60 gastrointestinal tumor patients admitted to our hospital from September 2010 to November 2011 were randomized into study group（receiving FTS combining MDT,n=30）and control group（receiving conventional treatment,n=30）.The time for gastrointestinal tumor recovery,time of oral intake of food,surgery complication rate and time of postoperative adjuvant therapy were compared between the two groups.Results All the patients were discharged after recovery.The study group had significantly shorter gastrointestinal recovery time and early oral intake of food（P0.05）.The complication rate of the two groups showed no statistically significant difference（P0.05）.The time of postoperative adjuvant therapy was not compared between the two groups due to the high loss rate of the control group.Conclusion Application of FTS combining MDT is feasible and effective for patients with gastrointestinal tumor.It can accelerate recovery after operation and shorten the time of postoperative adjuvant therapy.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第15期1772-1774,共3页
Chinese General Practice
基金
包头市医药卫生科技发展基金计划项目(Wsjj2011055)
关键词
胃肿瘤
肠肿瘤
多学科合作
快速康复外科
围术期
Stomach neoplasms
Intestinal neoplasms
Multi-disciplinary treatment
Fast track surgery
Peroperative period
