多学科合作快速康复外科模式在肝癌围手术期的应用

发布时间：2018-03-12 14:21

本文选题：快速康复外科　切入点：多学科综合治疗　出处：《华西医学》2017年03期 　论文类型：期刊论文

【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。
[Abstract]:Objective to explore the application of fast-track Surgical query (FTS) model in the operation of liver cancer. Methods from April 2014 to December, 188 patients with liver cancer were randomly divided into two groups. FTS group (n = 94) and control group (n = 94) and control group (n = 94) were treated with multi-disciplinary and FTS mode, while the control group were treated with traditional perioperative measures. The ability of daily life self-care and pain were compared and analyzed between the two groups. Results compared with the control group, the number and length of the activities, the time of anal exhaust and defecation, the time of hospitalization, the cost of hospitalization and the rate of readmission were significantly improved in FTS group compared with the control group. 3 days after operation, the number and duration of movement increased significantly, the time of anal exhaust and defecation shortened, the time of hospitalization shortened, the cost of hospitalization decreased, and the difference was statistically significant (P 0.05). The readmission rate of the two groups was significantly higher than that of the control group (P < 0.05), and the ability to take care of oneself on the 47th day after operation was found in the two groups. There was no significant difference in pain score between 72 h and 96 h after operation (P 0.05). Conclusion the application of multi-disciplinary cooperative FTS model in the perioperative period of liver cancer can improve the self-care ability of patients with liver cancer, promote early recovery, reduce the cost of hospitalization and save medical resources. Improve the discipline team cooperation ability.
【作者单位】：四川大学华西医院肝脏外科;
【分类号】：R473.73

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