Abstract:Objective To discuss the clinical application of fast track theory during perioperative period of colorectal cancer.Methods 110 cases of colorectal cancer patients from June 2012 to July 2015 in our hospital were chosen as the research object,and were randomly divided into two groups.Patients in the observation group were given fast track treatment,while patients in the control group were given conventional perioperative therapy.The indicators including operation time,blood loss during operation,time to first exhaust,and time to getting out of bed were recorded.And incidence rates of complications such as intestinal obstruction,incision infection,and pulmonary infection were compared between two groups.Results In the observation group,the blood loss during operation was(78.3±48.7)ml,and the length of incision was(10.2.±1.3)cm,which were significantly superior to those in the control group[(154.3±32.6)ml,and(12.3±1.5)cm](t=9.6176,t=7.8461,P<0.01).There was no significant difference in operation time between two groups(t=1.2239,P>0.05).In the observation group,the time to first exhaust was(33.6±1.1)h,the time to first defecation was(55.6±11.2)h,and the time to first feeding was(10.5±0.1)h,the bed time was[(1.6±0.2)d],the hospital stay after operation was(5.5± 1.5)d,which were significantly shorter than those in the control group [(38.3±0.3),(69.7±12.4),(15.6±1.5)h,(3.8±0.8),(10.3±2.5)d](P<0.01).There was no death in both groups after operation.There were significant differences in incidence rates of intestinal obstruction,incision infection,and pulmonary infection between two groups(χ2=4.7673,P<0.05).Conclusion The fast track theory has significant effects when applied during perioperative period of colorectal cancer,which can reduce the incidence rate of complications and accelerate the recovery of patients.
郑树武; 林锡汉; 刘金炎; 赵少芳. 快速康复理念在结直肠癌围术期中的应用[J]. 中国当代医药, 2016, 23(17): 50-52.
ZHENG Shu-wu; LIN Xi-han; LIU Jin-yan; ZHAO Shao-fang. Clinical application of fast track theory during perioperative period of colorectal cancer. 中国当代医药, 2016, 23(17): 50-52.