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目的:研究快速康复外科(fast-track surgery,FTS)新理念在结直肠手术中应用的安全性和有效性。方法:将61例结直肠择期手术患者随机分为快速康复组(FTS组)和对照组,分别用FTS和传统方法处置,比较患者的应激和术后恢复指标。结果:与对照组相比,FTS组患者术后应激水平减轻,术后康复进程明显加快。结论:整合一系列围手术期干预措施的FTS可有效减轻患者应激,明显加速术后康复进程,在结直肠手术中的应用是安全可行的。
Abstract：Objective: To study the feasibility of fast-track surgery in colorectal surgery. Methods: 61 patients with elective colorectal operation were divided randomly into experimental group (n=31)and control group(n=30), which were treated with fast-track surgery and traditional methods respectively. The data of stress and recovery after surgery were evaluated. Results: Compared to routine methods, the fast-track surgery can lighten stress, accelerate recovery and reduce the rate of overall complication after surgery. Conclusions: Fast-track surgery including intervention during perioperative period is safe and effective in colorectal surgery, significantly lightening stress and improving recovery in patients after colorectal surgery.
[1]Wilmore DW,Kehlet H.Management of patients in fast track surgery[J].BMJ,2001,322(24):473-476.
[2]Kehlet H,Wilmore DW.Fast track surgery[EB/OL].[1999-10-15]http://www.medscape.com/viewarticle/535637Sandrick.
[3]Nygren J,Hausel J,Kehlet H,et al.A comparison in five European centers of case mix,clinical management and outcomes following ei-ther conventional or fast-track perioperative care in colorectal surgery[J].Clin Nutr,2005,24(3):455-461.
[4]Schwenk W,Gunther N,Wendling P,et al.“Fast-track”rehabilita-tion for elective colonic surgery in Germany-prospective observa-tional data from a multi-centre quality assurance programme[J].IntJ Colorectal Dis,2007,18(4):227-231.
[5]Wichmann MW,Eben R,Angele MK,et al.Fast-track rehabilitation in elective colorectal surgery patients:a prospective clinical and im-munological single-centre study[J].ANZ J Surg,2007,77(7):502-507.
[6]Hausel J,Nygren J,Lagerkranser M,et al.A carbohydrate-rich drink reduces preoperarive discomfort in elective surgery patients[J].Anesth Analg,2001,93(5):1344-1347.
[7]Byme MF.The curse of poor bowel preparation for colonoscopy[J].Am J Gastroenterol,2002,97(7):1587-1590.
[8]韩继明,郑紫丹.磷酸钠盐清结肠道临床观察[J].中华消化外科杂志,2007,6(5):346-347.
[9]孙久运,张胜华,冯寿全,等.无术中结肠灌洗结肠减压在左半结肠癌急性梗阻一期切除吻合中应用[J].中国现代普通外科进展,2007,10(1):72-74.
[10]Zmora O,Mahajna A,BarZakai B,et al.Is mechanical bowel preparation mandatory for left-sided colonic anastomosis?Results of a prospective randomized trial[J].Tech Coloproctol,2006,10(2):131-135.
[11]Bucher P,Gervaz P,Soravia C,et al.Randomized clinical trial of mechanical bowel preparation versus no preparation before elective left-sided colorectal surgery[J].Br J Surg,2005,92(4):409-414.
[12]Lobo DN,Bostock KA,Neal KR,et al.Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection:a randomized controlled trial[J].Lancet,2002,359(9320):1812-1818.
[13]Henriksen MG,Jensen MB,Hansen HV,et al.Enforced mobiliza-tion,early feeding and balanced analgesia improve convalescence after colorectal sugery[J].Nutrition,2002,18(1):147-152.
[14]Mattei P,Rombeau JL,Review of the pathophysiology and manage-ment of postoperative ileus[J].World J Surg,2006,30(7):1382-1391.
[15]Fearon KC,Luff R.The nutritional management of surgical pa-tients:enhanced recovery after surgery[J].Pre Nut roc,2003,62(4):807-811.
基本信息:
DOI：
中图分类号:R656.9;R49
引用信息:
[1]李艳华,程黎阳,谢正勇等.快速康复外科新理念在结直肠手术中的应用[J].中国现代普通外科进展,2009,12(05):405-408.
基金信息:
广东省自然科学基金(8151001002000010)