中国普通外科杂志2011，Vol.20Issue(4)：406-410,5.
快速康复外科在老年人结直肠手术中的应用
Application of fast-track rehabilitation in elderly patients' colorectal surgery
摘要
Abstract
Objective To investigate the safety and effectiveness of using fast track surgery in elderly patients' colorectal surgery. Methods The clinical data of 72 patients older than 65 years with colorectal cancer were retrospectively analyzed. All patients were treated by “fast-track” rehabilitation program perioperatively that included short fasting time, avoidance of mechanical bowel preparation and without nasogastric tubes, making preoperative carbohydrate loading, use of epidural analgesia combined with general anaesthesia, minimized use of abdominal drains, and early oral feeding and ambulation. Results Of the patients treated with the concept of “fast-track” rehabilitation, 76.4％ were able to have liquids orally on the first day after surgery, 88.9％ able to have liquids orally on the 2nd day after surgery, and 73.6％ had semi-liquid orally on the 3rd postoperative day. The mean time of the first bowel movement was 2.4 days. Only 9 patients ( 12.5 ％ ) had general complications, and 10 patients ( 13.9 ％ ) had local complications, including 1 patient ( 1.4％ ) with anastomotic leakage. Average postoperative hospital stay was 5.6 days (range 1 -46 d) , but 5 patients (6.9％) were readmitted within 30 days. Conclusions Using the “fast-track” rehabilitation program on elderly patient is not only feasible but also can accelerate postoperative recovery and reduce the duration of hospital stay.关键词
结直肠肿瘤/外科学/快速康复外科/老年人分类
医药卫生引用本文复制引用
王刚,江志伟,鲍扬,刘磊,谢立飞,刘凤涛,黎介寿..快速康复外科在老年人结直肠手术中的应用[J].中国普通外科杂志,2011,20(4):406-410,5.基金项目
江苏省社会发展基金资助项目(BS2007054) （BS2007054）
南京军区科技创新基金资助项目(07Z028). （07Z028）
