摘要
目的探讨快速通道外科(FTS)在老年结肠癌患者围手术期的应用及对术后恢复效果的影响。方法选取2011年3月至2015年7月在兰州大学第二医院行结肠癌根治术治疗的153例患者,分为高龄组(76例,≥65岁)、低龄组(77例,<65岁)。低龄组中随机选取35例患者行FTS,高年龄组中随机选取37例行FTS;其余患者行传统方式治疗,所有患者手术均由同一团队完成。分别比较不同年龄组间2种处理措施的术后首次排气时间、术后并发症、住院时间及住院费用。结果在低年龄组,FTS较传统方法术后首次排气时间早、住院时间缩短,住院费用低,且术后并发症发生率低(P<0.05);在高龄组FTS与传统方法相比住院天数短(P<0.05),但首次通气时间、术后并发症及住院费用无统计学差异(P>0.05)。结论对于<65岁的结肠癌患者,FTS治疗是一种安全有效的治疗方法,术后恢复快、并发症少、费用低、住院时间短;对于≥65岁结肠癌患者,FTS治疗与传统方法相比无显著优势。
Objective To observe the application effect of fast track surgery（FTS）in the perioperative period of elderly patients with colorectal cancer. Methods A total of 153 colorectal cancer patients admitted in our hospital from March 2011 to July 2015 were chosen as the research objects. Those patients were assigned to younger age group（〈 65 years,n = 77）and older age group（≥ 65 years,n = 76）. Then,35 patients of younger age group（FTS1 group）and 37 patients of older age group（FTS2 group）were randomly selected and received FTS treatment,and others were given traditional treatment measures（TC1 group and TC2 group）. All patients underwent surgical treatment by the same experienced surgical team. The differences between the pairs of groups in different age ranges were compared with respect to the postoperative recovery index,complications,and medical costs. Results Compared with the TC1 group,the FTS1 group experienced earlier postoperative flatus,a shorter postoperative hospital stay,lower medical costs,and decreased incidence of postoperative complications（P〈0.05）. Compared with the TC2 group,the FTS2 group had a shorter hospital stay（P〈0.05）,but no significant difference in others（P〉0.05）. Conclusion The application of FTS can significantly improve postoperative rehabilitation,shorten hospitalization time,and decrease medical costs for 65 aged colorectal patients;However,there is no significant difference in benefits for aged patients（≥ 65）underwent the FTS procedure. Our results suggested that we should consider whether the FTS procedure is suitable for elderly patients with colorectal cancer cautiously.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2016年第7期631-634,共4页
Journal of China Medical University
关键词
快速通道外科
结肠癌
老年患者
围手术期
fast track surgery
colon cancer
elderly patient
perioperative period
