加速康复外科在卵巢癌围手术期的应用_临床医学论文.docVIP

加速康复外科在卵巢癌围手术期的应用_临床医学论文 加速康复外科在卵巢癌围手术期的应用_临床医学论文 【摘要】 目的 探讨加速康复外科在卵巢癌围手术期的可行性、安全性及有效性。方法 选择40例行初次手术治疗的卵巢癌患者，分别采用加速康复外科治疗(加速康复组，20例)及传统围手术期治疗(传统组，20例)，比较两组患者肠道功能恢复时间、并发症、术后住院天数或术后至开始化疗前天数。结果 加速康复组肠功能恢复提前于传统组，差异具有显著性(0.05);两组患者并发症发生率差异无显著性(P=0.418);加速康复组患者平均术后住院天数或术后至开始化疗时间明显少于传统组，差异具有显著性(P=0.002)。结论 加速康复外科应用于卵巢癌围手术期，安全可行，术后康复加快，早日进行化疗。 【关键词】 加速康复外科;卵巢癌;围手术期;并发症;康复 　[Abstract] Objective To investigate the feasibility, safety and availability of fast-track surgery(FTS) for ovarian cancer.Methods Forty ovarian cancer patients underwent surgery were divided into two groups. Twenty cases (FTS group) were treated with the concept of FTS and the others (traditional group) were treated with the traditional methods of operation as control group. The time of functional recovery of intestinal tract, the incidence of complications, and the hospital stay(or the hospital time before chemo)after surgery were compared, respectively.Results Significant differences were not observed between the two groups in the incidence of overall complications(P=0.418). There were significant differences between the FTS group and the traditional group in the functional recovery of intestinal tract(0.05) and the hospital stay(P=0.002).Conclusion The fast-track surgery can accelerate recovery after surgery for ovarian cancer with shorter hospital stay(or the hospital time before chemo) and lower cost during hospitalization during the perioperative period. 　　[Key words] fast-track surgery;ovarian cancer;perioperative period; complication; rehabilitation 　　近年来，自普外科始加速康复外科(fast-track surgery, FTS)的理念和意义越来越受到外科医师的关注。FTS是将麻醉学、疼痛控制及外科手术方式等方面的新技术与传统术后护理方法的改进相结合，降低术中、术后应激反应、降低术后并发症发生率及死亡率，以达到促进患者术后尽快康复、缩短术后住院时间和减少住院费用的目的。 　　2009年1月-2010年6月，笔者将FTS的方法应用于卵巢癌患者围手术期，效果满意，并与同期应用传统方案治疗患者进行了对比，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　选取行初次手术治疗的卵巢癌患者40例，FTS组及传统组各20例。FTS组(47.4±8.6)岁，体重(50.8±15.6)kg，传统组(43.5±6.5)岁，体重(48.5±17.8)kg。肿瘤分期:FTS组ⅠA期1例，ⅠB期2例，ⅠC期5例，ⅡA期3例，ⅡB期2例，ⅡC期1例，ⅢB期2例，ⅢC期4例;传统组ⅠA期2例，ⅠB期2例，ⅠC期4例，ⅡA期3例，ⅡB期3例，ⅡC期2例，ⅢB期