摘要
目的探讨腹腔镜结肠癌手术患者围手术期治疗中快速康复治疗模式对比标准治疗是否具有比较优势。方法分析2009年6月-2013年1月在该院及同济医院对32例腹腔镜直肠癌手术病人采用快速康复治疗模式与同期开展的32例采用常规围手术期处理方案的腹腔镜直肠癌手术进行对比分析。结果两组患者手术的基线特征和外科情况无明显异常(P>0.05)。其中快速康复组和标准组各有2例和1例中转开腹。快速康复组中成功应用FT治疗措施约(12.0±1.2)项措施。快速康复组在总的住院时间、术后住院时间、住院费用上明显少于标准组(P<0.05)。在并发症发生率、再手术率、再住院率及术后死亡率上无明显差异(P>0.05)。结论腹腔镜直肠癌手术患者围手术期推广快速康复治疗措施是值得肯定的,但仍需做进一步的研究以优化出最佳的临床使用路径。
【Objective】To explore comparative advantage of laparoscopic rectal cancer surgery patients between the fast track mode and the standard treatment. 【Methods】32 cases of laparoscopic rectal cancer surgery patients were carried out the fast track mode comparedwith 32 cases oflaparoscopic rectal cancer surgery with conventional cooperative treatment during the same period using program analysis from June 2009 to January 2013 in our hospital and Tongji Hospital.【Results】The baseline characteristics and surgical condition of the two groups were no obvious difference（P〈0.05）. Fast track group and the standard group eachhad 2 cases and 1 case due to transit laparotomy,respectively. The successful application of（12.0±1.2） measures were in fast track group. The total hospitalization time, postoperative hospital stay, cost of hospitalizationinfast track group were significantly less than the standard group（P〈0.05）. There were no significant differences in the incidence of complications, reoperation rate, the rate of hospitalization and postoperative mortality between two groups（P〈0.05）. 【Conclusion】Laparoscopic colon cancer surgery patients with perioperative promote fast track measures areworthy of recognition, but still need to do further research to optimize the clinical use path.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第28期97-100,共4页
China Journal of Modern Medicine
关键词
直肠癌
快速康复
腹腔镜
rectal cancer
fast track
laparoscope
