期刊文献+

加速康复理念在腹腔镜胆囊手术围手术期的应用体会 被引量:20

The application of "fast track" idea in perioperative period of laparoscopic cholecystectomy
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摘要 目的:观察腹腔镜胆囊切除术患者围手术期应用加速康复理念的有效性和安全性。方法:随机将160例腹腔镜胆囊切除患者分为加速康复组(实验组)80例,常规治疗组(对照组)80例,对比分析两组患者术后肠道排气、住院时间、住院费用及满意度调查等有效性指标,并观察加速康复治疗组的不良反应。结果:实验组较对照组术后肠道排气时间、住院时间缩短,住院费用减少,满意度提高(P<0.05)。结论:加速康复理念用于腹腔镜胆囊切除术可促进患者术后肠道功能的恢复,缩短住院时间,降低住院费用,提高满意度,不增加术后并发症发生率,是安全、经济、有效、可靠的围手术期处理方案。 Objective:To observe the efficacy and security of "fast track" idea in perioperative laparoscopic cholecystectomy patient. Methods: One hundred and sixty patients were randomly divided into two groups,80 patients using fast track surgery in trail group were compared to the other 80 patients using traditional protocol in control group in the bowel function recovery, hospital stay, medical treatment cost and satisfaction. The adverse effects of fast track group were observed. Results:Compared with control group,the fast track group was better in recovery of bowel function, hospital stay, medical treatment cost and satisfaction ( P 〈 O. 05 ). Conclusions : Fast track idea can promote recovery of bowel function and satisfaction, decrease hospital stay and cost without increasing complications in laparoscopic chnlecystectomy. It is a safe, economical,effective and reliable treatment of perioperative period.
机构地区 无锡市人民医院
出处 《腹腔镜外科杂志》 2011年第2期119-122,共4页 Journal of Laparoscopic Surgery
关键词 胆囊切除术 腹腔镜 手术期间 加速康复 Choleeysteetomy, laparoscopie Intraoperative period Fast track
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参考文献15

  • 1Wille-Jorgensen P,Guenaga KF,Matos D,et al.Pre-operative mechanical bowel cleansing or not? an updated meta-analysis[J].Colorectal Dis,2005,7(4):304-310.
  • 2Ljungqvist O,Soreide E.Preopeative fasting[J].Br J Surg,2003,90(4):400-406.
  • 3Nygren J,Soop M,Thorell A,et al.Preoperative oral carbohydrates and postoperative insulin resistance[J].Clin Nutr,1999,18(2):117-120.
  • 4Cheatham ML,Chapman WC,Key SP,et al.A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy[J].Ann Surg,1995,221(5):469-476.
  • 5Frank SM,Higgins MS,Breslow MJ,et al.The catecholamine,cortisol,and hemodynamic responses to mild perioperative hypothermia[J].Anesthesiology,1995,82(1):83-93.
  • 6Frank SM,Fleisher LA,Breslow MJ,et al.Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events:a randomized clinical trial[J].JAMA,1997,227(14):1127-1134.
  • 7Schmied H,Kurz A,Sessler DI,et al.Mild hypothermia increases blood loss and transfusion requirement during total hip arthroplasty[J].Lancet,1996,347(8997):289-292.
  • 8Carvalho-Gaspar M,Billing JS,Spriewald BM,et al.Chemokine gene expression during allograft rejection:comparison of two quantitative PCR techniques[J].J Immunol Methods,2005,301(1-2):42-52.
  • 9Urbach DR,Kennedy ED,Cohen MM.Colon and rectal anastomosis do not require routine drainage.A systematic review and a meta-analysis[J].Ann Surg,1999,229(2):174-180.
  • 10Merad F,Yahchouchi E,Hay JM,et al.Prophylactic abdominal drainage after elective colonic resection and suprapromontory anastomosis:a multicenter study controlled by randomization[J].Arch Surg,1998,133(3):309-314.

二级参考文献18

  • 1Egdahl RH.Pituitary adrenal response following trauma to the isolated leg[J].Surgery,1959,46(1):9-21.
  • 2Brant MR,Fernandes A,Mordhurst R,et al.Epidural anesthesia improves postoperative nitrogen balance[J].Br Med J,1978,29:1106-1108.
  • 3Rogers A,Walker N,Schugs S,et al.Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia,results from overview of randomized trials[J].Br Med J,2000,321(8):1493-1504.
  • 4Delaney CP,Fazio VW,Senagore AJ,et al.Fast-track postoperative management protocol for patients with high co-morbidity undergoing complex abdominal and pelvic colorectal surgery[J].Br J Surg,2001,88(8):1533-1538.
  • 5Kehlet H,Wilmore DW.Multimodal strategies to improve surgical outcome[J].Am J Surg,2002,183(4):620-641.
  • 6Kehlet H,Dahl JB.Anesthesia surgery and challenges in postoperative recovery[J].Lancet,2003,263(9):1921-1928.
  • 7Lobo DN,Bostock Ka,Neal KR,et al.Effect of salt and water balance on recovery of gastrointestinal function after elective resection:a randomized controlled trial[J].Lancet,2002,359(9320):1812.
  • 8Holte K,Kehlet H.Fluid therapy and surgical outcomes in elective surgery:a need for reassessment in fast-track surgery[J].Am Col Surg,2006,202(6):971-989.
  • 9Kehlet H,Wilmore DW.Fast-track surgery[J].Br J Surg,2005,92(1):3-4.
  • 10Fearon KC,Luff R.The nutritional management of surgical patients:enhanced recovery after surgery[J].Proc Nutr Soc,2003,62(4):807-811.

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