摘要
目的应用围手术期快速康复外科理念,观察胆囊切除手术患者临床应用的有效性、安全性、可行性及优越性。方法将40例胆囊结石需作胆囊切除术的患者随机分为两组,快速康复外科方法组20例(实验组);常规围手术期方案组20例(对照组)。分析研究两组患者术后C反应蛋白(CRP)、血皮质醇、血糖变化以及术后离床时间、进食时间、肛门排气时间、住院天数、住院费用等指标,并观察记录不良反应及并发症。结果快速康复外科组比对照组在皮质醇、血糖方面术后变化小(P<0.05),快速康复外科组比对照组术后离床时间、进食时间、肛门排气时间明显提前(P<0.05),并且缩短住院天数、降低住院费用。且并未增加并发症及再入院率。结论快速康复外科理念在胆囊切除手术患者中应用是安全、经济、有效和可靠的。
Objective To observe the validity, security, feasibility, and superiority of the clinical application of fast-track surgery （FTS） theory in the perioperative period to the cholecystectomized patients. Methods 40 patients required cholecystectomy were randomly divided into two groups, FTS group of 20 patients （the experimental group） and conventional method group of 20 patients （the control group）. By analyzing and studying the difference between the twogroups in C-reactive protein （CRP）, serum cortisol, changes in blood glucose and the leave-bed time after operation, eating time, anus exhaust time, the number of days hospitalized, hospital fees, and other indicators, we can observe and record adverse reactions with disease complications. Results FTS group are obviously better than the control group in little changes in cortisol and blood glucose after operation （P〈0.05）. And FTS group＇s leave-bed time, eating time, anus exhaust time are significantly ahead of time （P〈 0.05） than the control group. And they also shortened the length of hospitalization, decreased hospitalization costs, but did not increase complications and readmission rate. Conclusion The application of the FTS theory to the cholecystectomized patients is safe, economical, effective and reliable.
出处
《安徽医学》
2009年第8期928-930,共3页
Anhui Medical Journal
关键词
快速康复外科
胆囊切除术
Fast-track surgery theory
Cholecystectomy
