| 陈友雷,徐小宏,裘华森.中西医结合快速康复外科在老年胃癌中的应用体会[J].浙江中西医结合杂志,2014,24(12): |
| 中西医结合快速康复外科在老年胃癌中的应用体会 |
| Application Experience of Chinese and Western Medicine Combined with Fast Track Surgery in Elderly Gastric Cancer |
| 投稿时间：2014-03-28 修订日期：2014-10-18 |
| DOI： |
| 中文关键词: 中西医结合 快速康复外科 老年 胃癌 |
| 英文关键词:Combine traditional Chinese and western medicine Fast track surgery Elderly Gastric cancer |
| 基金项目:浙江省科技计划项目(NO:2013C33178)：促术后胃肠功能康复的参黄膏贴剂研发及临床应用研究 |
|
| 摘要点击次数: 1000 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的:比较应用中西医结合快速康复外科(fast track surgery,FTS)方案与传统方案治疗老年胃癌的临床效果。方法: 回顾总结我院2011年1月至2013年12月收治行手术治疗的70岁以上老年癌患者的临床资料,比较同期202例行中西医结合快速康复外科治疗患者与176例行传统手术治疗患者的一般情况、疾病分期、手术方式、术中指标、术后恢复、术后并发症等指标。结果:中西医结合快速康复外科组与传统手术组病例在性别、年龄、美国麻醉师协会患者术前危险度评分ASA 分级、疾病分期、手术方式、腔镜参与上均无显著性差异,中西医结合快速康复外科组中胃癌患者的术中肠管情况、术中肠腔情况优于对照组(P<0.05),手术时间、术后肛门排气时间、术后出院时间低于对照组(P<0.05),术后第一天免疫球蛋白水平高于对照组(P<0.05),术后并发症吻合口瘘、肺炎发生率较对照组差异无统计学意义(P>0.05)。结论:中西医结合快速康复外科在老年胃癌患者手术治疗中,效果良好,能改善病人术后免疫功能,明显加快患者术后康复,且并发症发生率较传统手术无增高,治疗老年胃癌短期效果良好,安全可行。 |
| 英文摘要: |
| Objective This research aims to compare the clinical effects of the two treatment plans, which are the treatment of combining traditional Chinese and western medicine fast track surgery(FTS) and traditional treatment. Methods Through concluding from clinical datas of patients aged over 70 years with gastric carcinoma who were hopitalized in our hospital from January 2011 to December 2013, we made a comparison of general condition between FTS and traditional surgery in the correspondingly period. We compared the two groups of patients’ general situation, disease staging, the method of surgery, intraoperative, postoperative recovery, postoperative complications, etc. Results No significant differences in sex ,age ,ASA grade and the method of surgery were found between the two groups．The condition of intraoperative intestine and lumen of FTS are better than the control group (P<0.05). The times of operation, postoperative anal exhaust and postoperative discharge of FTS group are lower than the control group(P<0.05),while the immune globulin level on the first day after opration is higher than the control group(P<0.05). And no significant differences in the incidence of postoperative complications of anastomotic fistula, pneumonia between the two groups(P>0.05). Conclusions The FTS treatment combined Chinese and western medicine is good in gastric cancer surgery of elderly patients. It can improve the the patient’immune function after surgery, and significantly speed up the postoperative rehabilitation, meanwhile the rates of postoperative complications is not higher than traditional surgery, so the application of this treatment in elderly gastric cancer is good, safe and feasible in short-term effect. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
