CAJ | 학술논문

目的：探讨快速康复外科（fast track surgery，FTS）在神经外科治疗中应用的安全有效性。方法选取河南省人民医院神经外科2012年6月至2014年3月行手术患者115例。将患者分为2组：FTS组62例，传统治疗组53例。分别按照FTS方案、传统方案进行治疗，比较两组各项临床指标、术后住院天数和住院费用。结果与传统治疗组比较，FTS组在术后头疼头晕(4：13)、恶心呕吐(5：15)、以及颅内感染(2：8)和肺部感染(1：11)发生率上均明显低于传统治疗组，差异均有统计学意义（P＜0.05）；FTS组在术后住院天数[（8±1）d vs.（11±2）d]，住院治疗费用[(4.58±0.75）万元vs.（5.78±0.64）万元]与传统治疗组比较差异有统计学意义（P＜0.05）。结论 FTS措施在神经外科的应用是一种全新的外科理念，其在减少术后并发症、缩短住院时间、降低住院费用等方面较传统治疗方法有明显优势。
목적：탐토쾌속강복외과（fast track surgery，FTS）재신경외과치료중응용적안전유효성。방법선취하남성인민의원신경외과2012년6월지2014년3월행수술환자115례。장환자분위2조：FTS조62례，전통치료조53례。분별안조FTS방안、전통방안진행치료，비교량조각항림상지표、술후주원천수화주원비용。결과여전통치료조비교，FTS조재술후두동두훈(4：13)、악심구토(5：15)、이급로내감염(2：8)화폐부감염(1：11)발생솔상균명현저우전통치료조，차이균유통계학의의（P＜0.05）；FTS조재술후주원천수[（8±1）d vs.（11±2）d]，주원치료비용[(4.58±0.75）만원vs.（5.78±0.64）만원]여전통치료조비교차이유통계학의의（P＜0.05）。결론 FTS조시재신경외과적응용시일충전신적외과이념，기재감소술후병발증、축단주원시간、강저주원비용등방면교전통치료방법유명현우세。
Objective To investigate the feasibility and effectiveness of fast track surgery (FTS) in neurosurgery. Methods One hundred fifteen patients who underwent neurosurgery surgery in Henan Province People's Hospital from June 2012 to March 2014 were enrolled in this study. All the patients were divided into FTS group (62 cases) and the tra?ditional operation group (53 cases). The clinical index, postoperative hospital stay and hospitalization cost were compared between the two groups. Results The clinical index were significantly lower in FTS group than in traditional operation group (P<0.05). Length of hospital stay (days) and hospitalization cost of FTS group were significantly shorter and lower in FTS group compared with traditonal operation group (8±1 vs. 11±2 days and RMB 4.58 ±0.75 vs. 5.78 ±0.64 ten thou?sand, respectively) (P<0.05). Conclusion FTS in neurosurgery operation is an all-new concept for surgery which can ef?fectively reduce postoperative complications, shorten length of hospital stay, decrease hospitalization cost and promote postoperative recovery.