摘要
目的探讨快速康复外科模式应用于胃肠肿瘤患者围手术期对促进患者术后康复的安全性及有效性。方法将260例胃肠肿瘤手术患者随机分成两组,使用快速康复外科模式治疗132例(FTS组),使用传统方法治疗128例(TPM组)。分析研究两组患者术前、术后焦虑,抑郁分值;术中体温、术后低体温及寒战发生率;术后镇痛效果;手术患者满意度及手术并发症、ICU住院时间、费用和住院天数等指标并分别进行对比分析。结果术前及术后FTS组患者的焦虑、抑郁评分和HAD总分显著低于TPM组;FTS组与TPM组术中体温变化无明显差别,FTS组术后低体温和术后寒战发生率明显低于TPM组;FTS组术后镇痛效果优于TPM组;FTS组患者手术的满意度显著高于TPM组患者,手术切口感染发生率低于TPM组患者,FTS组患者ICU住院时间、肺部感染发生率、医疗费用和住院天数均低于TPM组,但腹部并发症两组无明显差异。结论胃肠肿瘤患者围手术期采用快速康复外科模式可明显降低患者手术并发症发生率、缩短ICU和总体住院时间、节省医疗费用并提高手术患者满意度。
Objective To study the safety and feasibility of fast track surgery（FTS） in the promotion of postoperative recovery for gastrointestinal cancer patients during the perioperative period. Methods 260 gastrointestinal cancer patients were randomly divided into two groups, 132 in FTS pattern（FTS group） and 128 in traditional pattern mode（TPM group）. Analysis and research on the scores of hospital anxiety and depression scale（HAD） before and after operation, intraoperative temperatures, the incidence of postoperative hypothermia and chills, postoperative pain, patients＇ satisfaction and wound healing were compared. Results The score of anxiety, depression and HAD, incidence of postoperative hypothermia and chills, postoperative incision infection rate were lower in FTS group. FTS also provided superior pain relief and patients＇ satisfaction compared with traditional pattern. There was no significantly different between the two groups for the intraoperative temperatures. FTS group of patients with ICU hospitalization time, incidence of pulmonary infection, medical expenses and hospitalization time were lower than those of TPM group, but the complications about the abdomen had no difference between the two groups. Conclusions Perioperative gastrointestinal cancer patients with fast track surgery mode could be significantly reduced the incidence of surgical complications in patients, shorten the hospitalization time and total ICU, saved medical costs and improved the patients＇ satisfaction.
出处
《肿瘤代谢与营养电子杂志》
2017年第3期312-316,共5页
Electronic Journal of Metabolism and Nutrition of Cancer
关键词
快速康复外科模式
胃肠肿瘤
围手术期
Fast track surgery pattern
Gastrointestinal cancer
Perioperative period
作者简介
通讯作者：王蓓,电子邮箱：catherinedy@163.com
