CAJ | 학술논문

目的：探讨快速康复理念对肺癌手术患者安全和有效性及住院费用的影响。方法：住院肺癌患者160例，分为实验组和对照组，各80例。对照组接受传统方法治疗，实验组按快速康复理念治疗。观察两组疗效，比较住院费用差异。结果：实验组住院时间、手术时间、术后并发症均明显小于对照组，治愈例数多于对照组，具有统计学意义（P ＜0.05）。两组服务、诊断及材料费用差异不大（P ＞0.05），治疗、药品及总费用差异显著（P ＜0.05）。总住院费构成比例高的是治疗和药品。结论：快速康复理念应用于肺癌患者围手术期，能明显降低住院及手术时间和住院费用。
목적：탐토쾌속강복이념대폐암수술환자안전화유효성급주원비용적영향。방법：주원폐암환자160례，분위실험조화대조조，각80례。대조조접수전통방법치료，실험조안쾌속강복이념치료。관찰량조료효，비교주원비용차이。결과：실험조주원시간、수술시간、술후병발증균명현소우대조조，치유례수다우대조조，구유통계학의의（P ＜0.05）。량조복무、진단급재료비용차이불대（P ＞0.05），치료、약품급총비용차이현저（P ＜0.05）。총주원비구성비례고적시치료화약품。결론：쾌속강복이념응용우폐암환자위수술기，능명현강저주원급수술시간화주원비용。
Objective:To investigate the effect of fast - track surgery used in perioperative care for patients with lung cancer,and to analyze its impact on hospital costs. Methods:Totally 160 cases of lung cancer were divided into experimental group and control 80 in each. The patients were treated as fast - track surgery in the experimental group. On the contrary,the patients of control were managed as usual. The clinical index of patients and hospitalization costs were observed and compared. Results:The operation time,day of hospital stay and postoperative complications in the experimental group were significantly lower than that in the control(P < 0. 05). The cost of living service,diagnostic and medical instruments fee were almost equal without significant difference(P > 0. 05). However,the medical care costs,drug costs and total costs in the experimental group difference were much higher than control(P < 0. 05). Con-clusion:Fast - track surgery used in perioperative patients with lung cancer,can significantly reduce hospital stays and operating time as well as hospitalization costs.