[1]江涛王冰张磊朱靓李晓康.多学科协作诊疗助力直肠癌手术质量提升[J].中国卫生质量管理,2021,28(04):039-42.[doi:10.13912/j.cnki.chqm.2021.28.4.12 ]
　JIANG Tao,WANG Bing,ZHANG Lei.Improving the Quality of Colorectal Cancer Surgery by Multidisciplinary Team[J].Chinese Health Quality Management,2021,28(04):039-42.[doi:10.13912/j.cnki.chqm.2021.28.4.12 ]
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多学科协作诊疗助力直肠癌手术质量提升
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年04期
页码:
039-42
栏目:
医疗质量
出版日期:
2021-04-28

文章信息/Info

Title:
Improving the Quality of Colorectal Cancer Surgery by Multidisciplinary Team
作者:
江涛王冰张磊朱靓李晓康
空军军医大学卫生事业管理和医学教育教研室
Author(s):
JIANG Tao; WANG Bing; ZHANG Lei
Health Service Management and Medical Education Teaching and Research Section, Air Force Military Medical University
关键词:
多学科协作; 直肠癌; 效果分析; 医疗质量
Keywords:
Multi-Disciplinary Team (MDT);  Colorectal Cancer;  Effect Analysis;  Medical Quality
分类号:
R197.323;R735.3+7
DOI:
10.13912/j.cnki.chqm.2021.28.4.12
文献标志码:
A
摘要:
目的探讨多学科协作诊疗在直肠癌手术中的开展成效。方法将进入多学科协作的患者和未进入多学科协作的患者分别设为观察组和对照组，通过多项指标量化分析直肠癌多学科协作开展成效。结果观察组的术后住院时长短于对照组，差异有统计学意义（P<0.05）；术后首次下床时间短于对照组，差异有统计学意义（P<0.05）；手术总费用、检查费、床位费少于对照组，差异有统计学意义（P<0.05）。观察组低位直肠癌手术有效保肛率高于对照组；在术后早期并发症中，观察组病例数少于对照组；在Ⅲ期直肠癌患者术后无进展生存时间上，观察组要高于对照组，差异有统计学意义（P<0.05）。观察组在生存量表总分、生理领域、心理领域得分均高于对照组，差异有统计学意义（P<0.05）。结论多学科协作在直肠癌诊疗中效果明显，能够确保直肠癌患者手术安全，缩短术后住院时长，降低手术费用，并减少术后并发症发生率，提升低位直肠癌有效保肛率，延长Ⅲ期直肠癌患者术后无进展生存时间，改善患者生存质量。
Abstract:
ObjectiveTo investigate the effect of the multidisciplinary team (MDT) on colorectal cancer surgery.MethodsPatients with MDT and those without MDT were set as the observation group and the control group, and the effectiveness of MDT on colorectal cancer surgery was quantitatively analyzed by multiple indicators. ResultsThe length of postoperative hospitalization in the observation group was shorter than that in the control group with statistically significant difference (P<0.05). The time of getting out of bed for the first time after surgery was statistically significant shorter than that of the control group (P<0.05). The total operation cost, examination cost and bed cost were significant less than those in the control group (P<0.05). The effective anal preservation rate in the observation group was higher than that in the control group. In the early postoperative complications, the number of cases in the observation group was less than that in the control group. As for the level-Ⅲ colorectal cancer patients with postoperative progression-free survival time, the observation group was significantly higher than the control group (P<0.05). The total scores of survival scale, physiological field and psychological field in the observation group were significantly higher than those in the control group (P<0.05). Conclusion The diagnosis and treatment effect of MDT on colorectal cancer was obvious, which ensured the patient safety of colorectal cancer surgery, shortened the postoperative hospitalization time with lower operation cost, and reduced early post-operational complications, improved the effective anal preservation rate of low rectal cancer, improved level-Ⅲ progression-free survival time postoperatively in patients with colorectal cancer, and improved cancer patients quality of life.

参考文献/References:

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更新日期/Last Update: 2021-04-28