中国肺癌杂志2016，Vol.19Issue(12)：827-836,10.DOI:10.3779/j.issn.1009-3419.2016.12.05
快速康复外科在肺癌手术患者中应用效果的meta分析
Application Effect of Fast Track Surgery for Patients with Lung Cancer：A Meta-analysis
摘要
Abstract
Background and objective Fast track surgery (FTS) can accelerate rehabilitation and reduce postop-erative hospital stay. It has been effectively applied to several surgical diseases. However, the safety and effectiveness of FTS for patients with lung cancer in China is unclear. hTismeta-analysis aimed to evaluate the effect of FTS undergoing lung cancer surgery in China.Methods Using home and abroad databases to search all documents required. hTe deadline of retrieval was January 31, 2016. hTen the studies were screened according to the inclusion and exclusion criteria. Data were analyzed by RevMan 5.3 sotfware.Results 8 randomized controlled trials (RCTs) and 5 clinical controlled trials (CCTs) with 1,241 pa-tients were eligible for analysis. Compared with control group, FTS group can signiifcantly shorten postoperative hospital time (MD=-3.61, 95%CI: -5.05--2.16,P<0.000,01) and chest tube duration (MD=-2.62, 95%CI: -3.07-2.17,P<0.000,01), reduce incidence of postoperative complications (OR=0.30, 95%CI: 0.19-0.47,P<0.000,01) and hospitalization costs (MD=-0.92, 95%CI: -1.19--0.65,P<0.000,01).Conclusion FTS can safely and effectively accelerate the recovery of patients with lung can-cer in China, it exhibits important clinical values.关键词
肺肿瘤/快速康复外科/肺叶切除/胸腔镜手术/Meta分析Key words
Lung neoplasms/Fast track surgery/Lobectomy/Video-assisted thoracoscopic surgery/Meta-analysis引用本文复制引用
夏燕,常淑文,叶敬霆,薛谨,束余声..快速康复外科在肺癌手术患者中应用效果的meta分析[J].中国肺癌杂志,2016,19(12):827-836,10.基金项目
本研究受江苏省卫生科研指导性项目基金（No.Z201314）资助@@@@ This study was supported by the grant from the Guiding Project of Jiangsu Provincial Health Research Foundation of China (to Yusheng SHU)(No.Z201314) （to Yusheng SHU）
