Abstract: 【Abstract】 Objective To study the effect of fast-track surgery in radical surgery of colorectal cancer. Methods〓Of 92 patients with colorectal cancer were given rapid rehabilitation scheme (n=46) as experimental group and the traditional scheme (n=46) as control group。The curative effect and complications and quality of life of two groups were compared. Results〓Postoperative depression, anxiety scores in FTS group were obviously lower than the control group (P<0.001). Postoperative WBC level in FTS group was significantly lower than the control group, and significant difference was found between the two groups (P<0.001). Postoperative PA, ALB levels in FTS group decreased significantly less than the control group, and significant difference was found between the two groups (P<0.001). The indicators of evaluating the effect of surgical and medical cost in FTS group was better than control group, and there was more significant difference between groups (P<0.01). The proportion of nausea, vomiting in FTS group was lower than the control group (P=0.0205), and the remainder was no significant difference between groups (P>0.05). Postoperative the score of quality of life in FTS group was higher than that of control group (P<0.05). The physiological field, psychological field scores were more significant difference between the two groups (P<0.01). Conclusion〓Applying FTS therapy to the patients with CRC, can reduce the adverse emotions such as depression, anxiety of patients, improve the comprehensive curative effect, reduce the complications and ultimately improve the patients’ quality of life. And it is helpful for patients to recover as soon as possible.

Key words: Fast-track surgery, Colorectal cancer, Surgery, Effect

摘要： 【摘要】 目的 探讨FTS应用于结直肠癌(CRC)根治术中的效果。方法〓对92例结直肠癌患者分别给予快速康复方案((n=46)作为实验组和传统方案(n=46)作为对照组。对比两组的疗效、并发症及生活质量。结果〓术后FTS组抑郁、焦虑评分明显低于对照组(P<0.001)。术后FTS组白细胞水平明显低于对照组,两组间差异显著(P<0.001)。术后FTS组白蛋白、总蛋白水平下降幅度明显小于对照组,组间差异显著(P<0.001)。FTS组术后评价手术疗效及医疗成本的各项指标明显优于对照组,组间比较差异显著(P<0.01)。FTS组恶心、呕吐的比例低于对照组(P=0.0205),其余并发症组间比较无显著性差异(P>0.05)。术后FTS组生活质量各项评分皆高于对照组(P<0.05)。其中生理领域、心理领域评分两组间差异更显著(P<0.01)。结论〓给予CRC患者以FTS治疗,可以减少缓解患者抑郁、焦虑等不良情绪,提高综合疗效,减少并发症,最终提高术后生活质量,有利于患者尽快康复。

关键词: 快速康复外科, 结直肠癌, 效果, 手术