作　　者： ; ; ;

机构地区： 江门市中心医院

出　　处： 《中外医疗》 2019年第8期84-86,共3页

摘　　要： 目的探讨快速康复外科在胆道结石手术中的应用效果。方法方便选取在该院2017年3月—2018年9月期间治疗肝外胆道结石病的347例患者作为分析对象,快速康复组(172例,以下简称FTS组)接受快速康复治疗方案,对照组(175例)接受传统治疗方案。对比两组患者术后临床效果的各项指标及术后并发症发生率。结果 FTS组患者的下床活动时间、首次排便时间、首次排气时间和住院时间分别为(11.23±2.45)h、(21.34±5.21)h、(16.57±2.39)h、(3.47±0.58)h;均少于对照组的(21.61±3.23)h、(35.49±6.53)h、(24.34±4.75)h、(5.64±0.35)h,差异有统计学意义(t=5.025、6.334、5.158、5.216,P<0.05);FTS组患者术后腹胀、疼痛、恶心呕吐、切口感染、尿路感染、以及肺部感染的并发症发病率分别为43.60%、23.84%、39.53%、4.07%、2.33%、3.49%,均低于对照组的51.43%、65.71%、52.57%、9.14%、7.43%、10.29%,差异有统计学意义(P<0.05)。结论在胆道结石手术中应用快速康复外科治疗方案可有效提高临床效果,降低并发症发生率并缩短患者住院时间,有较高的应用价值,值得推广。 Objective To investigate the application effect of rapid rehabilitation surgery in biliary calculi surgery. Methods A total of 347 patients with extrahepatic biliary calculi were treated in our hospital from March 2017 to September 2018. The rapid rehabilitation group (172 patients, hereinafter referred to as FTS group) received rapid rehabilitation treatment and control group (175 cases received a traditional treatment plan). The indexes of postoperative clinical effects and the in-cidence of postoperative complications were compared between the two groups. Results The time of getting out of bed, the time of first defecation, the time of first defecation and the length of stay in the FTS group were (11.23±2.45)h,(21.34±5.21) h,(16.57±2.39)h,(3.47±0.58)h, less than (21.61±3.23) h,(35.49±6.53) h,(24.34±4.75) h,(5.64±0.35) h in the control group, and the difference was statistically significant (t=5.025、6.334、5.158、5.216, P<0.05);The incidence of postoperative abdom-inal distension, pain, nausea and vomiting, wound infection, urinary tract infection, and pulmonary infection in the FTS group were 43.60%, 23.84%, 39.53%, 4.07%, 2.33%, and 3.49%, respectively, lower than the control group of 51.43%, 65.71%, 52.57%, 9.14%, 7.43%, 10.29%, the difference was statistically significant (P<0.05). Conclusion The application of rapid rehabilitation surgical treatment in biliary calculi can effectively improve the clinical effect. It can reduce the inci-dence of complications and shorten the hospitalization time of patients. It has a high application value and is worth promot-ing.

关 键 词： 胆道结石 快速康复外科 应用

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