目的 评价围术期快速康复外科(fast track surgery,FTS)方案在胃癌患者应用的卫生经济学效果。方法 选取82例胃癌患者随机分为两组,每组41例,一组应用FTS方案为快速康复组,另一组应用传统方法为传统方法组。比较两组术后住院时间,住院总费用和术后并发症发生率。结果 快速康复组术后住院时间[(9.4±3.3)d vs(12.4±3.6)d]、住院总费用[(4.96±0.44)万 vs(6.46±0.34)万]明显少于传统方法组(P＜0.05),两组并发症发生率比较无统计学差异(P=0.232)。结论 胃癌围术期应用FTS方案,可以缩短术后住院时间,降低医疗费用,且不增加术后并发症的发生率。
Abstract
Objective To evaluate the effects of perioperative fast-track surgery programme on health economics in patients with gastric cancer. Methods Eighty-two patients were randomly allocated into two groups.The first group (n=41) as FTS group received a treatment of perioperative fast-track surgery programme and the second group (n=41) as control group received a conventional therapy. The postoperative hospital stay,hospitalization expenditure and postoperative complications were compared between the two groups. Results The postoperative hospital stay was obviously shortened in FTS group compared with control group[(9.4±3.3) d vs (12.4±3.6) d,P=0.0002].Hospitalization expenditure in FTS group was lower than that in control group(P<0.0001).The complications were not significantly different between the two groups(P=0.232). Conclusions Perioperative fast-track surgery programme can accelerate postoperative rehabilitation and reduce the cost of medical treatment in gastric cancer patients.
关键词
快速康复外科 /
胃癌 /
卫生经济学
Key words
fast track surgery /
gastric cancer /
health economics
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