CAJ | 학술논문

目的探讨快速康复外科在结直肠癌手术中的应用.方法选取80例结直肠癌手术患者,按随机数字表法分为观察组和对照组,每组40例,分别采用快速康复外科治疗及传统方法治疗,比较两组术后首次排气、排便时间及住院时间、术后并发症发生率、再住院率及住院费用.结果观察组首次排气、排便时间及住院时间[分别为(2.7±0.9)、(2.9±0.1)、(5.8±1.0)d]明显短于对照组[分别为(3.9±0.5)、(4.2±0.3)、(8.3±1.2)d],术后并发症发生率[7.5%(3/40)]及住院费用[(1.83±0.22)万元]也明显低于对照组[分别为27.5%(11/40)、(2.35±0.36)万元],差异均有统计学意义(P＜0.05).结论采用快速康复外科技术可以有效促进结直肠癌患者术后胃肠道功能的恢复,减少并发症的发生并节省住院费用.
목적 탐토쾌속강복외과재결직장암수술중적응용.방법 선취80례결직장암수술환자,안수궤수자표법분위관찰조화대조조,매조40례,분별채용쾌속강복외과치료급전통방법 치료,비교량조술후수차배기、배편시간급주원시간、술후병발증발생솔、재주원솔급주원비용.결과 관찰조수차배기、배편시간급주원시간[분별위(2.7±0.9)、(2.9±0.1)、(5.8±1.0)d]명현단우대조조[분별위(3.9±0.5)、(4.2±0.3)、(8.3±1.2)d],술후병발증발생솔[7.5%(3/40)]급주원비용[(1.83±0.22)만원]야명현저우대조조[분별위27.5%(11/40)、(2.35±0.36)만원],차이균유통계학의의(P＜0.05).결론 채용쾌속강복외과기술가이유효촉진결직장암환자술후위장도공능적회복,감소병발증적발생병절성주원비용.
Objective To investigate the feasibility of fast-track surgery in colorectal surgery.Methods Eighty consecutive patients with colorectal cancer admitted for colorectal surgery were divided into two groups by random digits table with 40 cases each. Group A was treated with the new concept of fasttrack surgery and group B was treated with the traditional methods of operation. The time of postoperative bowel venting and defecation,hospital stay time, the rate of complication, the rate of readmission and the total cost during hospitalization were compared. Results The time of postoperative bowel venting and defecation,hospital stay time were shorter in group A [(2.7 ± 0.9), (2.9 ± 0.1 ), (5.8 ± 1.0) d,respectively]than those in group B [( 3.9 ± 0.5 ), (4.2 ± 0.3 ), ( 8.3 ± 1.2) d, respectively] and the rate of complication and the total cost during hospitalization in group A [7.5%(3/40), ( 1.83 ± 0.22) ten thousand yuan] were lower than those in group B[27.5%(11/40), (2.35 ± 0.36) ten thousand yuan](P＜ 0.05). Conclusion The new concept of fast-track surgery can accelerate recovery after colorectal resection,reduce the rate of overall complications and total cost during hospitalization.