结直肠癌围手术期加速康复外科治疗的安全性及有效性研究

摘要

Objective To investigate the safety and efficacy of fast track surgery (FST) management in colorectal cancer patients. Methods Patients were assigned to receive FST management n= 15) or conventional perioperative care (n=15). The FST care included shorten preoperative fasting time.no nasogastric decompressing tubes and abdominal drainage piaced,early postoperative oral feeding,multimodal analgesia, and early mobilisation. The length of postoperative hospital stay,medical cost,nutritional status,gut function, and postoperative complications in the two groups were recorded and compared. Results FST group was associated with a significantly shorter postoperative hospital stay, less medical cost,earlier first passage of flatus,less loss of body weight in the postoperative period compared with conventional care group, and there were no differences in morbidity or mortality between groups. Conclusion FST was feasible and effective in colorectal cancer patients undergoing anterior resection.%目的 观察加速康复外科(FTS)治疗在结直肠癌手术患者中的安全性和有效性.方法 30例结直肠癌患者分为两组,每组15例.对照组采用传统的围手术期处理方法；FST组采用FST程序,主要措施包括缩短患者术前的禁食时间,术前口服含碳水化合物的液体,不放置鼻胃减压管,不放置腹腔引流管,术后早期口服饮食,加强术后止痛,尽早下床活动等.观察比较两组手术及术后住院时间、营养状态、肠道功能、并发症发生及费用等情况.结果 两组比较,FST组比对照组术后住院时间缩短、治疗费用减少、术后肠排气时间提前、停止静脉输液时间提前、手术后体重下降减轻,以上指标两组差异均有统计学意义.FST组的并发症并未增加.结论 结直肠癌患者按FST治疗安全、有效,可以减少住院时间与费用,加速患者的康复.