Objective To evaluate the safety and individuation principal of fast-track surgery applied in gastrointestinal surgery. Methods Complications after elective gastrointestinal surgery in patients with either a fast-track program (FTS group, n = 180) or standard care (conventional group,n = 110) were analyzed. Results As compared with those in conventional group, the general and common complications in FTS group were significantly reduced (P < 0.05), the serious complication was not significantly different (P > 0.05), but the rate of digestive fistula was higher (2.2% vs 0.9% ,P > 0.05). Conclusions The fast-track surgery can significantly reduce the complications after gastrointestinal surgery, but may increase digestive fistula when implemented erroneously. Therefore , implementation of fast-track surgery should follow the principle of individuation.%目的:探讨快速康复外科(FTS)应用于胃肠手术的安全性及个体化原则.方法:将采用FTS方法进行围手术期处置的180例择期胃肠手术患者(FTS组)与采用标准方法处理的110例患者(传统组)进行非随机对照研究,比较其一般并发症、严重并发症、消化道瘘和总体并发症发生率的差异.结果:FTS组的总体并发症及一般并发症发生率均显著低于传统组(P ＜ 0.05);两组的严重并发症发生率虽差异无显著性(P ＞ 0.05),但FTS组的消化道瘘发生率较传统组有增高趋势(2.2% vs 0.9%,P ＞ 0.05).结论:FTS可显著降低胃肠手术后的并发症发生率,但如应用不当可能增加消化道瘘的发生率,因此,FTS的临床应用应遵循个体化原则.
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