论文部分内容阅读
目的评价快速康复(FTS)在接受腹腔镜辅助下高龄(>75岁)结肠癌根治术患者中的安全性与有效性。方法接受腹腔镜辅助结肠癌根治术的高龄患者80例,将80例患者分为FTS组与传统组,每组各40例。FTS组患者接受围术期快速康复方案管理,传统组接受常规围术期管理。比较两组患者术后首次通气时间、术后住院时间、术后并发症发生率等。结果所有患者均痊愈出院。与传统组患者比较,FTS组通气时间提前,住院时间缩短,差异有统计学意义(P<0.05)。FTS组患者术后呕吐、腹泻及肠梗阻发生率明显上升(P<0.01)。结论在高龄患者中,FTS的运用可以缩短通气时间,减少住院时间,但在术后并发症方面,FTS并不能使高龄患者获益。在高龄结肠癌患者中推广FTS应慎重。
Objective To evaluate the safety and efficacy of rapid rehabilitation (FTS) in patients undergoing laparoscopic surgery for advanced (> 75 years) colon cancer. Methods Eighty elderly patients undergoing laparoscopic-assisted radical resection of colon cancer were divided into two groups: FTS group and traditional group, 40 cases in each group. Patients in the FTS group underwent a perioperative rapid rehabilitation program, while the conventional group underwent routine perioperative management. The first postoperative ventilation time, postoperative hospital stay and postoperative complications were compared between the two groups. Results All patients were cured and discharged. Compared with the traditional group, the ventilation time of FTS group was earlier and the hospitalization time was shorter, the difference was statistically significant (P <0.05). The incidence of postoperative vomiting, diarrhea and intestinal obstruction in the FTS group increased significantly (P <0.01). Conclusion In elderly patients, the use of FTS can shorten the ventilation time and reduce the length of hospital stay, but FTS does not benefit elderly patients in postoperative complications. The promotion of FTS in elderly colon cancer patients should be cautious.