快速康复外科理念在胃癌患者中的临床研究

【摘要】 目的 探讨快速康复外科理念在胃癌患者中临床应用的安全性和有效性。方法 回顾性研究184例胃癌患者临床资料,一组为快速康复外科组,另一组为传统治疗组,每组92例。比较两组患者的手术及术后恢复相关评价指标。结果 快速康复外科组与传统治疗组相比,在手术时间(182±43 min vs 190±46 min,P=0.68)、术中出血量(179±64 mL vs 182.59±74.65 mL,P=0.52)、淋巴结清扫数(21.2±7.2个vs 20.8±8.7个, P=0.59)、术后并发症(8.70% vs 10.87%,P=0.17)比较无显著性差异。而术后首次排气时间(3.6±0.6 d vs 5.0±0.8 d,P<0.01)、术后住院天数(7.1±1.4 d vs 11.5±2.0 d,P<0.001)和住院总费用(40583±3693元 vs 46438±6311元,P<0.001)比较有显著性差异。结论 快速康复外科理念应用于胃癌患者安全有效,可明显加快胃癌患者术后康复进程。

Clinical study on fast track surgery in patients with gastric cancer

Objective To evaluate the safety and efficacy of clinical application of fast track surgery （FTS） in patients with gastric cancer. Methods A retrospective clinical data were studied in 184 patients with gastric cancer. All patients were divided into two groups： FTS program group （n=92 cases, accepted FTS management） and traditional treatment group （n=92）. The operation and postoperative indexes were compared between the two groups. Results There was no significant difference between the two groups in operation time （182±43 min vs 190±46 min,P=0.6845）, operation bleeding （179±64 mL vs 183±75 mL, P=0.52）, lymph node dissection number （21.2±7.2 vs 20.8±8.7,P=0.59） and complications （8.70% vs 10.87% ,P=0.17）. There was significant difference in first passing flatus （3.55±0.56 d vs 4.97±0.78 d, P〈0.01 ）, postoperative hospital stay （7.06±1.42 d vs 11.45±1.96 d,P〈0.001） and hospitalization expense （40583±3693 Yuan vs 46438± 6311 Yuan, P〈0.001 ）. Conclusion In our study, FI＇S management in patients with gastric cancer is safe and effective, and it would accelerate postoperative rehabilitation.