CAJ | 학술논문

目的：研究快速康复外科(fast track surgery,FTS)对接受开腹手术的老年大肠癌病人中术后恢复的影响及其临床意义。方法将108例接受开腹大肠癌根治术老年病人(>65岁)随机分成两组,即快速康复(fast track,FT)组(50例)和传统治疗组即对照组(58例)。分别统计两组病人的术后肛门排气时间、术后住院时间、住院费用及并发症发生率。结果两组共104例完成实验,其中 FT 组46例,对照组58例,两组在术后肛门排气时间、术后住院时间、住院费用方面 FT 组均少于对照组(P <0.05),在并发症发生率方面,两组吻合口瘘、切口愈合不良、肠梗阻、尿潴留发生率比较差异无统计学意义,而肺部感染、尿路感染的发生率 FT 组少于对照组(P <0.05)。结论快速康复外科对促进大肠癌病人术后恢复,特别是对于开腹手术的老年病人,较传统治疗手段具有一定优势,可在相应人群中推广。
목적：연구쾌속강복외과(fast track surgery,FTS)대접수개복수술적노년대장암병인중술후회복적영향급기림상의의。방법장108례접수개복대장암근치술노년병인(>65세)수궤분성량조,즉쾌속강복(fast track,FT)조(50례)화전통치료조즉대조조(58례)。분별통계량조병인적술후항문배기시간、술후주원시간、주원비용급병발증발생솔。결과량조공104례완성실험,기중 FT 조46례,대조조58례,량조재술후항문배기시간、술후주원시간、주원비용방면 FT 조균소우대조조(P <0.05),재병발증발생솔방면,량조문합구루、절구유합불량、장경조、뇨저류발생솔비교차이무통계학의의,이폐부감염、뇨로감염적발생솔 FT 조소우대조조(P <0.05)。결론쾌속강복외과대촉진대장암병인술후회복,특별시대우개복수술적노년병인,교전통치료수단구유일정우세,가재상응인군중추엄。
Objective To explore the efficacy and clinical significance of fast track surgery (FTS)in elderly patients after open resection for colorectal cancer.Methods A total of 108 elderly patients undergoing laparotomy for colorectal cancer were randomly divided into two groups of FT and conventional treatment (control).And the parameters of postoperative anal exhaust time,length of postoperative stay,hospitalization expense and incidence of complications were compared for both groups.Results And 46 subjects in FT group and 58 in control group completed the study.FT group offered better outcomes in postoperative anal exhaust time,length of stay and hospitalization expense than control group (P <0.05).The occurrences of anastomotic leakage,delayed wound healing,in-testinal obstruction and uroschesis had no significant inter-group differences.And the incidence rates of pulmonary and urinary tract infections decreased in FT group (P <0.05).Conclusions Compared with conventional treatment,laparotomic FTS offers multiple advantages for elderly colorectal cancer patients during postoperative recovery.And wider popularization is desired.