Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial

作     者：Gang Wang Zhi-Wei Jiang Jing Xu Jian-Feng Gong Yang Bao Li-Fei Xie Jie-Shou Li 

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.