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

【摘要】：目的探討多學(xué)科合作快速康復(fù)外科(fast-track surgery,FTS)模式在肝癌圍手術(shù)期的應(yīng)用。方法將2014年4月—12月188例肝癌患者采用隨機(jī)數(shù)字表法分為2組,即FTS組(94例)和對(duì)照組(94例)。FTS組采用多學(xué)科合作FTS模式下圍手術(shù)期處理措施,對(duì)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(dòng)次數(shù)及時(shí)長(zhǎng)、肛門排氣排便時(shí)間、住院時(shí)間、住院費(fèi)用及再入院率。結(jié)果與對(duì)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(dòng)次數(shù)及活動(dòng)時(shí)長(zhǎng)明顯增加,肛門排氣排便時(shí)間縮短,住院時(shí)間縮短,住院費(fèi)用降低,差異均有統(tǒng)計(jì)學(xué)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(píng)分差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論多學(xué)科合作FTS模式應(yīng)用于肝癌圍手術(shù)期能提高患者生活自理能力,促進(jìn)早日康復(fù),減少住院費(fèi)用,節(jié)約醫(yī)療資源,提高學(xué)科團(tuán)隊(duì)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(xué)華西醫(yī)院肝臟外科;
【分類號(hào)】：R473.73

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本文編號(hào)：1601940