CAJ | 학술논문

目的：探讨加速康复外科在胃癌手术中的应用效果。方法：2011年2月-2014年4月收治胃癌患者180例，均接受手术治疗，随机分成观察组和对照组各90例，对照组进行常规的护理和治疗，观察组采用加速康复外科(FTS)理念，在术前、术中和术后进行护理和治疗。结果：加速康复外科组肛门排气时间(3.3±1.0)d，体质量下降(3.2±0.8) kg，术后住院天数(5.5±1.3)d，治疗费(18552±2210)元；对照组肛门排气时间(4.6±1.0)d，体质量下降(4.5±1.7)kg，术后住院天数(9.5±2.1)d，治疗费(21003±2465)元，两组比较差异有统计学意义(P＜0.05)。结论：加速康复外科可以明显提高患者的恢复时间，降低医疗费用，值得推广。
목적：탐토가속강복외과재위암수술중적응용효과。방법：2011년2월-2014년4월수치위암환자180례，균접수수술치료，수궤분성관찰조화대조조각90례，대조조진행상규적호리화치료，관찰조채용가속강복외과(FTS)이념，재술전、술중화술후진행호리화치료。결과：가속강복외과조항문배기시간(3.3±1.0)d，체질량하강(3.2±0.8) kg，술후주원천수(5.5±1.3)d，치료비(18552±2210)원；대조조항문배기시간(4.6±1.0)d，체질량하강(4.5±1.7)kg，술후주원천수(9.5±2.1)d，치료비(21003±2465)원，량조비교차이유통계학의의(P＜0.05)。결론：가속강복외과가이명현제고환자적회복시간，강저의료비용，치득추엄。
Objective:To explore the curative effect of fast-track surgery in gastric cancer operation.Methods:180 patients with gastric cancer were selected from February 2011 to April 2014.Patients were given operation treatment.They were randomly divided into the observation group and the control group with 90 cases in each group.The control group were given conventional treatment and nursing,and the observation group were given the fast-track surgery(FTS) concept.In the preoperative,intraoperative and postoperative,patients were given care and treatment.Results:In fast-track surgery group,anal exhaust time was (3.3±1)d;the decrease of body weight was (3.2±0.8)kg;postoperative hospital stay time was (5.5±1.3)d;the treatment costs were (18552± 2210)Yuan.In the control group,the time of anus exhaust was (4.6 ± 1)d;the decrease of body weight was (4.5 ± 1.7)kg;postoperative hospital stay time was (9.5±2.1)d;the treatment costs were (21003±2465)Yuan.The difference was statistically significant(P<0.05).Conclusion:The fast-track surgery can obviously improve the recovery time of patients,and reduce medical costs.It is worthy of promotion.