Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial
Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial作者机构:Research Institute of General SurgeryJinling Hospital School of Medicine Nanjing University Nan-j ing 210002 Jiangsu Province China Department of Medical Oncology Jinling HospitalSchool of Medicine Nanjing University Nanjing 210002 Ji-angsu Province China
出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))
年 卷 期:2011年第17卷第5期
页 面:671-676页
核心收录:
学科分类:090603[农学-临床兽医学] 0710[理学-生物学] 1007[医学-药学(可授医学、理学学位)] 100705[医学-微生物与生化药学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 071005[理学-微生物学] 10[医学]
基 金:Supported by Social Development Fund of Jiangsu Province No. BS2007054
主 题:大肠癌 护理 康复 临床试验 VS 快速通道 恢复时间 随机
摘 要:AIM:To compare the fast-track rehabilitation program and conventional care for patients after resection of colorectal ***:One hundred and six consecutive patients who underwent fast-track rehabilitation program were encouraged to have early oral feeding and movement for early discharge,while 104 consecutive patients underwent conventional care after resection of colorectal *** gastrointestinal functions,postoperative complications and hospital stay time were ***:The restoration time of gastrointestinal functions in the patients was significantly faster after fasttrack rehabilitation program than after conventional care(2.1 d vs 3.2 d,P 0.01).The percentage of patients who developed complications was significantly lower 30 d after fast-track rehabilitation program than after conventional care(13.2% vs 26.9%,P 0.05).Also,the percentage of patients who had general complications was significantly lower 30 d after fast-track rehabilitation program than after conventional care(6.6% vs 15.4%,P 0.05).The postoperative hospital stay time of the patients was shorter after fast-track rehabilitation program than after conventional care(5 d vs 7 d,P 0.01).No significant difference was observed in the readmission rate 30 d after fast-track rehabilitation program and conventional care(3.8% vs 8.7%).CONCLUSION:The fast-track rehabilitation program can significantly decrease the complications and shorten the time of postoperative hospital stay of patients after resection colorectal cancer.