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目的:应用加速康复外科(FTS)理念的术前准备方法,观察结直肠癌手术病人临床应用的有效性、安全性和优势。方法:将60例结直肠癌手术病人随机分成两组,使用FTS理念的术前准备方法30例作为FTS组,使用传统的术前准备方法30例作为传统方法组。比较两组病人术后切口感染和吻合口瘘等感染性并发症的发生情况、术后肠道恢复通气时间以及营养状态的变化。结果:FTS组病人与传统方法组比,不仅未增加术后感染性并发症的发生率(P>0.05),而且能更好地促进胃肠功能恢复(P<0.05)、改善病人营养状态(P<0.05)和缩短病人术后住院时间。结论:结直肠癌手术病人行FTS理念的术前准备是安全、有效的,不增加术后切口感染和吻合口瘘等并发症,并且有加快病人术后肠道恢复、改善病人术后营养状态等优点。
Objective: To observe the effectiveness, safety and advantages of clinical application of colorectal surgery in patients with preoperative preparation of accelerated rehabilitation surgery (FTS). Methods: Sixty patients with colorectal cancer were divided into two groups at random. Preoperative preparation using FTS concept was performed in 30 patients as FTS group. Conventional preoperative preparation method was used in 30 patients as traditional method group. The incidence of postoperative incisional infection and anastomotic fistula and other infectious complications were compared between the two groups. The time of postoperative intestinal recovery ventilation and the changes of nutritional status were compared. Results: Compared with the traditional method group, the FTS group not only did not increase the incidence of postoperative infectious complications (P> 0.05), but also promoted the recovery of gastrointestinal function (P <0.05) and the nutritional status of patients P <0.05) and shorten the postoperative hospital stay. Conclusion: The preoperative preparation of FTS concept for colorectal cancer patients is safe and effective. It does not increase complications such as postoperative incision infection and anastomotic fistula. It also accelerates postoperative intestinal recovery and improves postoperative nutritional status Etc.