快速康复外科在肺癌手术中的应用研究

BACKGROUND AND OBJECTIVE: Fast track surgery (FTS) is a systematical method to accelerate the recovery of surgical patients by reducing the physical and mental trauma stress of them.The research is to investigate the feasibility of FTS application in lung cancer surgery. METHODS: A total of 80 cases of lung cancer patients with single leaf lobotomy resection were randomized into two groups.While the experimental group was treated with the conception of FTS, and the control group was treated with the traditional methods.The incident rate of post-operation pain degrees, telecasts, pleural effusion, the post-operation time stay in hospital time and the total cost during hospitalization in two groups were compared respectively. RESULTS: In FTS group:the VAS score of post-operation pain at 1 h, 6 h, 12 h, 24 h and 48 h all significantly decreased compared to the traditional therapy group.The incidence rate of telecast was 10.53%.The incidence rate of pleural effusion was 26.31%.The length of stay after operation was (4±1) d and the total cost was RMB 15 600±7 600.In the control group, the above values were 77.78%, 33.33%, 22.22%, (9±1) d, RMB 23 600±5 400, respectively.The post operation pain (VAS method) of FTS group was remarkablely below the control group.There has significant difference of the incident rate of telecasts, stay time in hospital and the total cast in two groups (P < 0.05).No significant difference was observed in the incident rate of pleural effusion. CONCLUSION: The new methods of FTS can apparently accelerates recovery after lung cancer resection, reduces complications, shorten timestay in hospital and cut down the total cost.