中国肿瘤外科杂志
中國腫瘤外科雜誌
중국종류외과잡지
Chinese Journal of Surgical Oncology
2015年
5期
273-277
,共5页
郑惊雷%王在国%游志坚%李绍强%赖佳明%彭宝岗%林志强%陈刘镇%李庆贤%梁力建
鄭驚雷%王在國%遊誌堅%李紹彊%賴佳明%彭寶崗%林誌彊%陳劉鎮%李慶賢%樑力建
정량뢰%왕재국%유지견%리소강%뢰가명%팽보강%림지강%진류진%리경현%량력건
肝癌%快速康复外科%围手术期%肠内营养%住院时间
肝癌%快速康複外科%圍手術期%腸內營養%住院時間
간암%쾌속강복외과%위수술기%장내영양%주원시간
hepatocellular carcinoma%fast track surgery%peri-operative period%enteral nutrition%hospi-talization time
目的：研究快速康复外科( fast track surgery,FTS)在肝癌围手术期应用的有效性和安全性,为临床提供参考。方法选取2010年11月1日至2014年6月30日行肝癌切除患者80例,采用区组随机化将患者分为两组(快速康复外科组和传统治疗组),每组各40例,进行前瞻性随机对照研究。比较两组患者术前术后临床监测指标,肠道功能恢复情况,手术前后体重、上臂围( AC)和三头肌皮褶厚度( TSF)；术前术后肝酶学和白蛋白、前白蛋白、血糖等营养代谢指标,以及术后并发症、再入院率、病死率,统计白蛋白总使用量、平均营养费用和总住院时间。结果快速康复外科组术后的首次排气排便时间、耐受半流时间均较传统治疗组明显缩短(P<0.05),术后第7天血清白蛋白、前白蛋白也明显高于传统治疗组(P<0.05)。两组之间感染性并发症和总并发症差异均无统计学意义。术后两组白蛋白用量相当,但快速康复外科组平均住院费用和住院时间均明显低于传统治疗组。结论快速康复外科应用在肝癌围手术期安全、有效。
目的：研究快速康複外科( fast track surgery,FTS)在肝癌圍手術期應用的有效性和安全性,為臨床提供參攷。方法選取2010年11月1日至2014年6月30日行肝癌切除患者80例,採用區組隨機化將患者分為兩組(快速康複外科組和傳統治療組),每組各40例,進行前瞻性隨機對照研究。比較兩組患者術前術後臨床鑑測指標,腸道功能恢複情況,手術前後體重、上臂圍( AC)和三頭肌皮褶厚度( TSF)；術前術後肝酶學和白蛋白、前白蛋白、血糖等營養代謝指標,以及術後併髮癥、再入院率、病死率,統計白蛋白總使用量、平均營養費用和總住院時間。結果快速康複外科組術後的首次排氣排便時間、耐受半流時間均較傳統治療組明顯縮短(P<0.05),術後第7天血清白蛋白、前白蛋白也明顯高于傳統治療組(P<0.05)。兩組之間感染性併髮癥和總併髮癥差異均無統計學意義。術後兩組白蛋白用量相噹,但快速康複外科組平均住院費用和住院時間均明顯低于傳統治療組。結論快速康複外科應用在肝癌圍手術期安全、有效。
목적：연구쾌속강복외과( fast track surgery,FTS)재간암위수술기응용적유효성화안전성,위림상제공삼고。방법선취2010년11월1일지2014년6월30일행간암절제환자80례,채용구조수궤화장환자분위량조(쾌속강복외과조화전통치료조),매조각40례,진행전첨성수궤대조연구。비교량조환자술전술후림상감측지표,장도공능회복정황,수술전후체중、상비위( AC)화삼두기피습후도( TSF)；술전술후간매학화백단백、전백단백、혈당등영양대사지표,이급술후병발증、재입원솔、병사솔,통계백단백총사용량、평균영양비용화총주원시간。결과쾌속강복외과조술후적수차배기배편시간、내수반류시간균교전통치료조명현축단(P<0.05),술후제7천혈청백단백、전백단백야명현고우전통치료조(P<0.05)。량조지간감염성병발증화총병발증차이균무통계학의의。술후량조백단백용량상당,단쾌속강복외과조평균주원비용화주원시간균명현저우전통치료조。결론쾌속강복외과응용재간암위수술기안전、유효。
Objective To study the effect and safety of the application of fast track surgery ( FTS) in the perioperative period of hepatocellular carcinoma. Methods 80 hepatectomy cases of hepatocellular carcinoma from November 1, 2010 to June 30, 2014, were divided into two groups (fast track surgery group and conven-tional treatment group) by using block randomization for the prospective randomized controlled study. Each group had 40 cases. The clinical data including preoperational and post-operational clinical monitoring indexes, intestinal function recovery, liver enzymology, albumin, pre albumin, blood glucose value, complications, mor-tality, readmission rate, albumin consumption, cost of nutrition and total hospitalization time were compared and analyzed by statistics. Results Passing of flatus,defacating funtion, semi fluid tolerance time were significantly shorter than traditional treatment group(P<0. 05). On the postoperative seventh day, the serum albumin, pre-albumin of fast track surgery group were significantly higher than traditional treatment group(P<0. 05). There was no difference of the total complications and infectious complications between the two groups. The albumin consumption was equal in two groups, but the average hospitalization time and total expenses of fast track surger-y were significantly lower than that of traditional treatment group. Conclusion It is effective and safe for the application of fast track surgery in the peri-operative period of hepatocellular carcinoma.
