多学科合作快速康复外科模式在肝癌围手术期的应用.PDFVIP

• 400 • West China Medical Journal, Mar. 2017, Vol. 32, No.3   ·论 著· 多学科合作快速康复外科模式在肝癌 围手术期的应用 任秋平，罗艳丽 四川大学华西医院肝脏外科（成都  610041 ） 【摘要】   目的    探讨多学科合作快速康复外科（fast-track surgery，FTS）模式在肝癌围手术期的应用。 方法    将 2014 年 4 月— 12 月 188 例肝癌患者采用随机数字表法分为 2 组，即 FTS 组（94 例）和对照组（94 例）。FTS 组采用 多学科合作 FTS 模式下围手术期处理措施，对照组采用传统围手术期处理措施，比较分析两组术后日常生活自理 能力、疼痛、下床活动次数及时长、肛门排气排便时间、住院时间、住院费用及再入院率。 结果    与对照组相比， FTS 组术后第 1 ～3 天生活自理能力明显提高，术后 8、24、48 h 忍受的疼痛明显减少，术后 3 d 下床活动次数及活 动时长明显增加，肛门排气排便时间缩短，住院时间缩短，住院费用降低，差异均有统计学意义（P0.05）。两组 再入院率、术后第 4 ～7 天生活自理能力、术后 72 和 96 h 疼痛评分差异均无统计学意义（P0.05）。 结论    多学科 合作 FTS 模式应用于肝癌围手术期能提高患者生活自理能力，促进早日康复，减少住院费用，节约医疗资源，提 高学科团队合作能力。 【关键词】  快速康复外科；多学科综合治疗；肝癌 Application of fast-track surgery through multidisciplinary cooperation for perioperative period of liver cancer REN Qiuping, LUO Yanli Department of Liver Surgery, Liver Transplantation Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China Corresponding author: LUO Yanli, Email: luoyl6@126.com 【Abstract 】 Objective    To explore the application of fast track surgery (FTS) mode through multidisciplinary cooperation for the perioperative period of liver cancer. Methods    A total of 188 patients with liver cancer treated between April and December 2014 were randomly divided into two groups: FTS group (n=94) and control group (n=94). The FTS group was treated with multidisciplinary cooperative FTS mode, while the control group was treated with traditional perioperative treatment. The self-care ability of daily life, pain, ambulation time and frequency, anal exhaust time, defecation time, hospital stay, hospitalization expenses and readmission rate were compared between the two groups. Results    Compared with the control group, patients in the FTS group had a better ability of self-care one to three days after surgery, more reduced pain 8, 24 and 48