摘要
目的探讨应用快速康复外科方案和传统方法在远端胃癌Billroth I式手术中治疗的效果。方法随机选取2009年1月至2010年12月远端胃癌行Billroth I式吻合患者74例,分为传统手术组40例和快速康复组34例,比较两组患者术后住院时间、肛门排气时间、咽喉疼痛、急性胃扩张、切口及肺部感染、吻合口瘘等并发症发生率。结果两组患者均痊愈出院。快速康复组术后患者住院时间及首次肛门排气时间较对照组缩短,咽痛明显减少(P<0.05),但两组患者出现急性胃扩张、切口及肺部感染、吻合口瘘发生率差异无统计学意义(P>0.05),发生急性胃扩张需重置胃肠减压管和禁食病例差异无统计学意义(P>0.05)。两组C-反应蛋白(CRP)及血糖指标术后均升高,快速康复组各项指标升高水平较对照组低,差异具有统计学意义(P<0.05)。结论对于远端胃癌Billroth I式患者,快速康复外科治疗方案是安全、有效的围手术期处理方案。
Objective To investigate the safety and efficacy of fast track surgery（FTS） in the patients with gastric cancer during the perioperative period.Methods Radical resection was performed on 30 patients with gastric cancer who received rigid perioperative FST treatments while 40 cases received traditional perioperative treatments as control group.The time of gas passage by anus,the length of hospitalization and the occurrence of complications were compared between 2 groups.Results The gas passage was significantly earlier in the FST patients compared to the control ones.The length of hospitalization was shorter was smaller in the patients with FTS treatment than those in control group while there was no difference in the incidence of the postoperative complications between the 2 groups.Conclusion The current study demonstrates that FTS facilitates the perioperative rehabilitation of the patients with gastric cancer and is a safe and effective process.
出处
《安徽医学》
2011年第8期1071-1073,共3页
Anhui Medical Journal
