Abstract: 【Abstract】 Objective To investigate the feasibility and effectiveness of fast track surgery (FTS) for colorectal tumor during perioperative period. Methods Fifty -six patients with colorectal tumor received FTS(n=28)and conventional perioperative management (n=28). Outcomes were assessed by clinical parameters of preoperative general status, time to restore bowel function, time of oral intake of food,and postoperative complications rate. Results The complication rate showed no statistically significant differences between the two groups(P>0.05). FTS group had significantly shorter gastrointestinal recovery time and early oral intake of food (P<0.05). Meanwhile, compared with the CPM group, the FTS group had less days with getting flatulence and abdominal pain (P<0.05). Conclusions Application of FTS is feasible and effective for patients with colorectal tumor.It can accelerate recovery after operation.

Key words: Fast track surgery, Colorectal tumor, Perioperative period

摘要： 【摘要】 目的 探讨快速康复外科理念(FTS)在结直肠肿瘤围术期应用的可行性,并评价其效果。方法〓结直肠肿瘤病人56例,随机分为研究组(FTS流程组,n=28)和对照组(CPM组,n=28),比较两组术后并发症、术后胃肠道功能恢复时间、首次经口进食时间等指标。结果〓①两组术后并发症比较,差异无统计学意义(P>0.05);FTS流程组术后胃肠道功能恢复时间、首次经口进食时间均比对照组缩短(P<0.050)。②胃肠道症状:两组术后恶心、呕吐、肠鸣音恢复等差异无统计学意义(P>0.05),总腹胀天数、总腹痛天数两组间差异有统计学意义(P<0.05)。结论 FIS理念应用于结直肠肿瘤病人围手术期中是安全、有效的,有利于加速病人的术后恢复。

关键词: 快速康复外科, 结直肠肿瘤, 围手术期