加速康复外科对胃肠道恶性肿瘤患者临床结果的影响.pdfVIP

·1578 · 周大胜，等 加速康复外科对胃肠道恶性肿瘤患者临床结果的影响 加速康复外科对胃肠道恶性肿瘤患者临床结果的影响 周大胜，徐谔文，陈建华，祁 洁 Ｔｈｅ ｉｍｐａｃｔ ｏｆ ｃｌｉｎｉｃａｌ ｏｕｔｃｏｍｅｓ ｉｎ ｇａｓｔｒｏｅｎｔｅｒｏｌｏｇｉｃａｌ ｍａｌｉｇｎａｎｔ ｔｕｍｏｒ ｐａｔｉｅｎｔｓ ｗｉｔｈ ｆａｓｔ ｔｒａｃｋ ｓｕｒｇｅｒｙ Zhou Dasheng，Xu Ewen，Chen Jianhua，Qi Jie Department of General Surgery，SuzhouHospital，Nanjing Medical University，JiangsuSuzhou215001，China 【Abstract】 Objective：o compare the clinical outcomes in gastroenterological malignant tumor patients with fast tract surgery（F S）andconventionaltreatment.Methods：All60 casesof gastroenterological malignanttumorpatients were randomly dividedintofasttract surgery（F S）group（30 cases）andconventionaltreatment（control）group（30 cases），to observe time of hospital stay after operation，postoperative activity time and anal exhaust time and eating semiliquid time，hospitalization expense，theincidenceofcomplicationswerecomparedbetweenthetwogroups.Weal- so observedthevariationrangesof albumin（ALB），c-reactiveprotein（CRP），glucose，lactic acid，total lymphocyte count（LC），CD ，CD ，CD ，CD / CD .Results：In the F S group，the hospitalization timewas significantly shorter， 3 4 8 4 8 thepostoperativeactivitytimeandanalexhausttimeandeatingsemiliquidtimeweresignificantly earlier，thehospital- ization expensewassignificantly decreased，theALBfallrangand CRPriserangandglucoseriserangandlacticacid rise rang weresignificantlyreducedthanthoseinthecontrolgroup（P0.01）. hetotallymphocytecount（LC）rise rang，CD3 rise rang，CD4 riserang，CD4/ CD8riserangweresignificantlyincreasedintheF Sgroupthanthoseinthe control group（P0.05）. herewas no difference in the total complication rate between the two groups（P 0.05）. Conclusion：Fast track surgery can significantly improve the clinical outcomes of gastroenterological malignant tumor patients. 【Key words】fast track surgery，gastroenterologica