本文選題：快速康復外科　切入點：多學科綜合治療　出處：《華西醫(yī)學》2017年03期 　論文類型：期刊論文

【摘要】：目的探討多學科合作快速康復外科(fast-track surgery,FTS)模式在肝癌圍手術(shù)期的應用。方法將2014年4月—12月188例肝癌患者采用隨機數(shù)字表法分為2組,即FTS組(94例)和對照組(94例)。FTS組采用多學科合作FTS模式下圍手術(shù)期處理措施,對照組采用傳統(tǒng)圍手術(shù)期處理措施,比較分析兩組術(shù)后日常生活自理能力、疼痛、下床活動次數(shù)及時長、肛門排氣排便時間、住院時間、住院費用及再入院率。結(jié)果與對照組相比,FTS組術(shù)后第1~3天生活自理能力明顯提高,術(shù)后8、24、48 h忍受的疼痛明顯減少,術(shù)后3 d下床活動次數(shù)及活動時長明顯增加,肛門排氣排便時間縮短,住院時間縮短,住院費用降低,差異均有統(tǒng)計學意義(P0.05)。兩組再入院率、術(shù)后第4~7天生活自理能力、術(shù)后72和96 h疼痛評分差異均無統(tǒng)計學意義(P0.05)。結(jié)論多學科合作FTS模式應用于肝癌圍手術(shù)期能提高患者生活自理能力,促進早日康復,減少住院費用,節(jié)約醫(yī)療資源,提高學科團隊合作能力。
[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.
【作者單位】： 四川大學華西醫(yī)院肝臟外科;
【分類號】：R473.73

【參考文獻】

相關期刊論文 前3條

1 丁蔚;張峰;李國強;張傳永;呂凌;;快速康復理念在肝癌肝切除術(shù)圍手術(shù)期處理中的應用[J];中國普通外科雜志;2013年01期

2 ;Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial[J];World Journal of Gastroenterology;2011年05期

3 葉穎江;王杉;;重視普通外科惡性腫瘤多學科專家組治療模式[J];中國實用外科雜志;2009年09期

【共引文獻】

相關期刊論文 前10條

1 任秋平;羅艷麗;;多學科合作快速康復外科模式在肝癌圍手術(shù)期的應用[J];華西醫(yī)學;2017年03期

2 陳富文;宋曉彪;胡江;金衍波;;快速康復外科理念在腹腔鏡下膽囊切除膽總管探查術(shù)中的應用[J];內(nèi)蒙古醫(yī)學雜志;2017年02期

3 彭浪;王愷;樊友文;鐘福平;張翼;鄒書兵;;加速康復外科理念在原發(fā)性肝癌肝切除術(shù)圍手術(shù)期管理的應用價值[J];中國普通外科雜志;2017年02期

4 楊如美;徐寅;顧美珍;陳潔;;快速康復外科理念在經(jīng)腹腔鏡下行前列腺癌根治術(shù)患者圍術(shù)期護理中的應用效果[J];解放軍護理雜志;2016年22期

5 朱佩娟;;腹腔鏡下行肝癌切除術(shù)圍術(shù)期應用強制性運動療法的效果觀察[J];健康研究;2016年05期

6 魏強;陳強譜;歐琨;張興元;管清海;張帆;成雨;呂小芹;周希環(huán);盧艷敏;趙寶磊;;加速康復外科在膽道外科圍手術(shù)期應用的臨床研究及體會[J];世界華人消化雜志;2016年25期

7 楊麗敏;周婷婷;沈燕敏;朱曉萍;;國內(nèi)慢病延續(xù)護理現(xiàn)況及啟示[J];護理學雜志;2016年17期

8 張密;潘寶瑩;黎淑玲;何小霞;;多學科協(xié)作護理模式在乳腺癌圍手術(shù)期患者中的應用[J];現(xiàn)代臨床護理;2016年08期

9 葉龍;張鵬年;沈e，

本文編號：1601940