摘要
目的 探讨快速康复外科（FTS）理念应用于高原LC围手术期管理的价值.方法 前瞻性分析201 1年3月至2012年7月解放军第一一五中心医院收治的88例胆囊结石患者的临床资料.患者均行LC,按照随机数字表法分为对照组和研究组,每组44例.对照组患者采用传统的围手术期处理措施,研究组患者采用FTS围手术期处理措施.比较两组患者手术时间、术后下床时间、术后肛门排气时间、术后住院时间、住院费用和并发症发生率等指标.计量资料以x±s表示,采用t检验,计数资料采用x2检验.结果 对照组和研究组患者的手术时间分别为（63±19） min和（59 ±21） min,两组比较,差异无统计学意义（=-1.34,P＞0.05）.对照组和研究组患者的术后下床时间、术后肛门排气时间、术后住院时间和住院费用分别为（25±6）h、（36±9）h、（5.6±1.3）d、（10.8±1.1）千元和（10±4）h、（23±5）h、（3.1±1.3）d、（7.9±1.3）千元,两组比较,差异有统计学意义（t=-3.81,-3.67,-6.40,-4.08,P＜0.05）.对照组和研究组患者的并发症发生率分别为4.5％ （2/44）和2.3％ （1/44）,两组比较,差异无统计学意义（x2=3.01,P＞0.05）.结论 FTS应用于高原LC围手术期,可以促进患者康复、缩短住院时间、降低住院费用,不增加术后并发症发生率.
Objective To investigate the clinical value of fast track surgery （FTS） in perioperative management of laparoscopic cholecysteetomy in the plateau. Methods The clinical data of 88 patients with gall stone who received laparoscopic cholecystectomy at the No. 115 Central Hospital of PLA from March 2011 to July 2012 were retrospectively analyzed. All the patients were randomly divided into the control group （44 patients） and the observation group （44 patients）. Patients in the control group received traditional perioperative treatment, while patients in the observation group received FTS treatment. Differences in the operation time, time to out-of-bed activity, time for recovery of bowel function, duration of postoperative hospital stay, medical treatment cost and incidence of complications between the 2 groups were compared. The measurement data were shown in x± s, and analyzed using the t test, and the count data were analyzed using the chi-square test. Results The operation time of the control group and the observation group were （63 ± 19 ）minutes and （59± 21 ）minutes, with no significant difference between the 2 groups （ t =- 1.34, P 〉 0.05）. The time for out-of-bed activity, recovery of bowel function, duration of postoperative hospital stay and medical treatment cost were （25 ± 6） hours, （36 ± 9） hours, （5.6±1.3）days, （10.8±1.1） ×10^3 yuaninthe control group, and （10±4）hours, （23 ±5）hours, （3.1 ± 1.3）days, （7.9± 1.3） × 10^3 yuan in the observation group, with significant differences between the 2 groups （t =-3.81, -3.67, -6. 40, -4. 08, P 〈0.05）. The incidences of complications in the control group and the observation group were 4.5% （2/44） and 2.3% （1/44） , respectively, with no significant difference between the 2 groups （X2= 3.01, P 〉 0.05）. Conclusion hospital stay and medical treatment cost without laparoscopic cholecystectomy in the plateau. FTS can promote the recovery of patients, decrease duration of increasing incidence of complication for patients who received
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2014年第6期461-463,共3页
Chinese Journal of Digestive Surgery
