快速康复外科技术在结直肠癌中应用的最新研究进展
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摘要
快速康复外科(Fast track surgery,FTS)理念在上世纪90年代由丹麦腹部外科医生Henrik Kehlet提出,他认为,在临床中采取该种技术能够对临床治疗效果起到加倍的作用,且作为一种有效的围手术期优化手段,可以在诸多相关临床中被应用。对快速康复外科技术(FTS)进行了解,其主要针对临床中可能出现的一些不良反应等起到较好的治疗作用。比如本文所阐述的结直肠癌,其就可以针对患者临床中所出现的肠麻痹、恶心及疼痛、免疫系统失调等情况起到较好的规范作用,能够有效避免患者出现该类症状,进而能保证其在术后得到较快恢复,对其生活质量也有较好作用。这几年来,FTS不断丰富和发展,成绩斐然。
The fast track surgery is put forwards by the Danish abdominal surgeon Henrik Kehlet in 1990 s, he supposes,the FTS can play a reduplicated role in the clinical treatment, as an effective optimization means during the perioperative period, it can be applied in most related clinical, and the awareness of FTS can have a better treatment effect on some adverse reactions in clinic, such as the colorectal cancer, which can have a better standardized effect on the intestinal paralysis, nausea and pain, disorders of the immune system thus further ensuring the rapid recovery after surgery, and having a good effect on the quality of life, recently, the FTS is constantly enriched and developed, and obtains a remarkable achievement.
The fast track surgery is put forwards by the Danish abdominal surgeon Henrik Kehlet in 1990 s, he supposes,the FTS can play a reduplicated role in the clinical treatment, as an effective optimization means during the perioperative period, it can be applied in most related clinical, and the awareness of FTS can have a better treatment effect on some adverse reactions in clinic, such as the colorectal cancer, which can have a better standardized effect on the intestinal paralysis, nausea and pain, disorders of the immune system thus further ensuring the rapid recovery after surgery, and having a good effect on the quality of life, recently, the FTS is constantly enriched and developed, and obtains a remarkable achievement.
引文
[1]周洁,杨淼.快速康复外科护理应用于胃肠道手术的研究进展[J].齐齐哈尔医学院学报,2017,38(10):1198-1199.
[2]鲁伟,傅晓青.加速康复外科在胸外科的应用现状[J].浙江临床医学,2017,19(11):2157-2159.
[3]李建平,黄阿雷.快通道外科理念和临床路径整合于LC患者的临床研究[J].肝胆胰外科杂志,2013,25(4):339-341.
[4]Steen M iniche,Steffen.Convalescence and hospital stay after colonic surgery with balanced analgesia,early oral feeding,and enforced mobilization[J].Eur J Surg,1995(161):283-288.
[5]Linda Basse,Dorthe Hjort Jakobsen.A Clinical Pathway to Accelerate Recovery After Colonic Resection[J].Ann Surg,2000,232(1):51-57.
[6]K Li,JP Li,NH Peng.Fast-track improves post-operative nutrition and outcomes of colorectal surgery:a single-center prospective trial in China[J].Asia Pacific Journal of Clinical Nutrition,2015,23(1):41-47.
[7]马雪玲,王玉珏.结直肠癌快速康复外科护理的现状和进展[J].护士进修杂志,2016,31(16):1463-1465.
[8]李林德,吴东波.快速康复外科技术在结直肠癌中应用的研究进展[J].中国临床新医,2016,10(9):955-957.
[9]周淑珍,左明章.加速康复外科的麻醉管理进展[J].北京医学,2015,37(8):722-723.
[10]张利民,康晓征.术前口服碳水化合物对胸部肿瘤外科患者围术期应激和代谢变化的改善[J].中国胸心血管外科临床杂志,2012,19(5):463-467.
[11]向雪宝,吴健.肾移植围手术期目标导向性液体治疗进展[J].器官移植,2014(3):191-193.
[12]江志伟,黎介寿.我国加速康复外科的研究现状[J].中华胃肠外科杂志,2016,19(3):246-249.
[2]鲁伟,傅晓青.加速康复外科在胸外科的应用现状[J].浙江临床医学,2017,19(11):2157-2159.
[3]李建平,黄阿雷.快通道外科理念和临床路径整合于LC患者的临床研究[J].肝胆胰外科杂志,2013,25(4):339-341.
[4]Steen M iniche,Steffen.Convalescence and hospital stay after colonic surgery with balanced analgesia,early oral feeding,and enforced mobilization[J].Eur J Surg,1995(161):283-288.
[5]Linda Basse,Dorthe Hjort Jakobsen.A Clinical Pathway to Accelerate Recovery After Colonic Resection[J].Ann Surg,2000,232(1):51-57.
[6]K Li,JP Li,NH Peng.Fast-track improves post-operative nutrition and outcomes of colorectal surgery:a single-center prospective trial in China[J].Asia Pacific Journal of Clinical Nutrition,2015,23(1):41-47.
[7]马雪玲,王玉珏.结直肠癌快速康复外科护理的现状和进展[J].护士进修杂志,2016,31(16):1463-1465.
[8]李林德,吴东波.快速康复外科技术在结直肠癌中应用的研究进展[J].中国临床新医,2016,10(9):955-957.
[9]周淑珍,左明章.加速康复外科的麻醉管理进展[J].北京医学,2015,37(8):722-723.
[10]张利民,康晓征.术前口服碳水化合物对胸部肿瘤外科患者围术期应激和代谢变化的改善[J].中国胸心血管外科临床杂志,2012,19(5):463-467.
[11]向雪宝,吴健.肾移植围手术期目标导向性液体治疗进展[J].器官移植,2014(3):191-193.
[12]江志伟,黎介寿.我国加速康复外科的研究现状[J].中华胃肠外科杂志,2016,19(3):246-249.