CAJ | 학술논문

目的评价围手术期快速康复与营养支持方案给老年胃癌患者联合应用后的临床效果.方法选取42例胃癌患者随机分为两组,每组21例,一组为应用快速康复外科方案的研究组,另一组为应用传统方法的对照组.比较两组术后首次排便时间、术后住院时间、住院总费用和术后并发症的发生率.结果研究组术后首次排便时间为(75.4±24.3)h,显著早于对照组的(98.0±22.6)h(P=0.0165);研究组术后住院时间为(11.2±3.2)d,显著短于对照组的(14.4±4.6)d(P=0.0004);研究组住院总费用为(3.66±0.48)万元,显著少于对照组的(4.56±0.78)万元(P=0.0001).两组并发症的发生率差异具有统计学意义(9.5%比28.6%,P=0.0422).结论围手术期应用快速康复外科方案可以明显加快老年胃癌患者的术后康复,缩短术后住院时间,降低医疗费用,减少术后并发症的发生率.
목적 평개위수술기쾌속강복여영양지지방안급노년위암환자연합응용후적림상효과.방법 선취42례위암환자수궤분위량조,매조21례,일조위응용쾌속강복외과방안적연구조,령일조위응용전통방법적대조조.비교량조술후수차배편시간、술후주원시간、주원총비용화술후병발증적발생솔.결과 연구조술후수차배편시간위(75.4±24.3)h,현저조우대조조적(98.0±22.6)h(P=0.0165);연구조술후주원시간위(11.2±3.2)d,현저단우대조조적(14.4±4.6)d(P=0.0004);연구조주원총비용위(3.66±0.48)만원,현저소우대조조적(4.56±0.78)만원(P=0.0001).량조병발증적발생솔차이구유통계학의의(9.5%비28.6%,P=0.0422).결론 위수술기응용쾌속강복외과방안가이명현가쾌노년위암환자적술후강복,축단술후주원시간,강저의료비용,감소술후병발증적발생솔.
Objective To evaluate the clinical effectiveness of perioperative fast-track surgery(FTS)program and nutrition support in the elderly patients with gastric cancer.Methods Totally 42 patients were equally randomized into FTS group(receiving perioperative FTS program)and control group(receiving a conventional therapy).The postoperative first defecation time,postoperative hospital stay,hospitahzation expenditure,and postoperative complications were compared between these two groups.Results The postoperative first defecation time and postoperative hospital stay were(75.4±24.3)hours and(11.2±3.2)days in FIS group and(98.0±22.6)hours and(14.4±4.6)days in control group(P=0.0165,P=0.0004;respectively).The hospitalization expenditure was significantly lower in FTS group than in control group[(3.66±0.48)×104 vs.(4.56±0.78)×104 RMB yuan;P=0.0001].The incidence of postoperative complications in FTS group was also significantly lower than that in control group(9.5% vs.28.6%,P=0.0422).Conclusion Perioperative FTS program can accelerate postoperative rehabilitation,shorten hospital stay,lower hospitalization expenditure,and reduce the incidence of postoperative complications.