加速康复外科理念在甲状腺肿瘤手术中的应用

目的探讨加速康复外科治疗理念和措施在甲状腺肿瘤患者围术期的安全性和有效性。方法 116例甲状腺肿瘤患者随机分为对照组(常规围术期处理方案)和加速康复外科组(加速康复围术期处理方案),各58例。比较两组患者手术时间、术中失血量、术后住院时间、住院费用,观察两组患者术后并发症的发生情况。结果加速康复组患者术中手术时间([110.33±28.79)minvs(112.72±33.63)min]和术中失血量([100.86±42.27)mlvs(95.22±32.54)ml]与常规对照组比较,差别无统计学意义;加速康复组患者术后住院时间([2.24±0.82)dvs(3.84±1.02)d]、治疗费用([4980.13±575.38)元vs(7843.14±473.63)元],恶心呕吐发生率(34/58vs44/58)明显低于对照组(P0.05),而术后并发症的发生并没有增加。结论加速康复外科治疗理念可加快甲状腺肿瘤患者术后的恢复,缩短住院时间,节省医疗费用。

Observation of fast track surgery in patients with thyroid neoplasm

Objective To observe the feasibility and safety of fast track surgery in patients with thyroid neoplasm.Methods 116 patients with thyroid neoplasm were randomly divided into two groups：fast track group（58 cases,fast track surgery）and control group（58 cases,traditional surgery）.The operative time,blood loss,postoperative hospital stay,postoperative complications,postoperative nausea and vomiting and medical cost were compared.Results There were no significant differences in opeative time[（110.33±28.79）min vs （112.72±33.63）min]and blood loss[（100.86±42.27）ml vs（95.22±32.54）ml]between two groups.The post-operative hospital stay[（2.24±0.82）d vs（3.84±1.02）d],postoperative nausea and vomiting（34/58 vs 44/58）and medical cost[（4980.13±575.38）Yuan vs（7843.14±473.63）Yuan]in fast track group patients were significantly lower than those in non-fast track group patients,P〈0.05.Patients in fast track group had no more complications than those in control group.Conclusions Fast track surgery can shorten postoperative hospital stay,save medical cost and accelerate rehabilitation of patients with thyroid neoplasm.