CAJ | 학술논문

目的：研究分析快速康复外科在肠梗阻患者手术中的应用效果，评价其在肠梗阻手术中的临床可行性。方法收集2013年6月至2014年6月肠梗阻手术病例88例，随机分成 FTS组52例（快速康复外科治疗组）及对照组36例（传统方案治疗组），观察2组患者术前术后1周体重差、肛门排气时间、术后并发症发生率（咽喉疼痛、恶心呕吐、切口感染、肺部感染、尿路感染等）、住院时间。结果88例肠梗阻患者中，术后切口感染、肺部感染及恶心咽部疼痛等并发症发生率明显低于对照组，术后肛门排气时间及住院时间明显少于对照组，体质量下降明显低于对照组（P＜0．05）。结论 FTS可有效促进肠梗阻手术患者术后康复，减轻患者痛苦，缩短住院时间，降低手术并发症的发生率。
목적：연구분석쾌속강복외과재장경조환자수술중적응용효과，평개기재장경조수술중적림상가행성。방법수집2013년6월지2014년6월장경조수술병례88례，수궤분성 FTS조52례（쾌속강복외과치료조）급대조조36례（전통방안치료조），관찰2조환자술전술후1주체중차、항문배기시간、술후병발증발생솔（인후동통、악심구토、절구감염、폐부감염、뇨로감염등）、주원시간。결과88례장경조환자중，술후절구감염、폐부감염급악심인부동통등병발증발생솔명현저우대조조，술후항문배기시간급주원시간명현소우대조조，체질량하강명현저우대조조（P＜0．05）。결론 FTS가유효촉진장경조수술환자술후강복，감경환자통고，축단주원시간，강저수술병발증적발생솔。
Objective To evaluate the clinical efficacy and feasibility of fast track surgery in pa-tients with intestinal obstruction.Methods A total of 88 patients with intestinal obstruction were randomly assigned to receive either traditional treatment(control group,n=36)or fast track sur-gery(FTS group,n=52)between June 2013 and June 2014.Preoperative 1-week weight loss,time to first postoperative flatus,hospital stay and incidence of complications(sore throat,nausea,vom-iting,incision infection,lung infection and urinary tract infection)were compared between the two groups.Results Compared with control group,the incidence of complications,time to first post-operative flatus,length of hospital stay and preoperative weight loss significantly decreased in FTS group(P<0.05).Conclusion Fast track surgery can effectively promote postoperative reha-bilitation,relieve pain,shorten hospital stay and reduce complications in patients with intestinal obstruction.